Filling the Spectrum Expander with Air—A New Alternative

Summary: The Spectrum adjustable saline implant is optimal for prepectoral breast reconstruction as it can be placed virtually empty and thus flat, applying no pressure on the overlying skin flap. However, when saline is added, it tends to pool at the bottom of the implant resulting in its uneven surface and rippling. Air filling results in the uniform distribution within the implant shell and smooth even implant surface, which facilitates acellular dermal matrix adhesion. Pressure to the skin flap is averted, patients are more comfortable, and rippling is not seen. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. Published online 25 October 2017. Received for publication June 6, 2017; accepted September 1,2017. Disclosure: Dr. Becker is a consultant for Mentor Corp. Dr. Zhadan declares no disclosures. No funding was received for this article. The Article Processing Charge was paid for by the authors. The patients provided verbal and written consent for the use of the images. Hilton Becker, MD, FACS, Hilton Becker Clinic of Plastic Surgery, 670 Glades Road #220, Boca Raton, FL 33431, E-mail: hbecker100@aol.com Olga Zhadan, MD, MS, Hilton Becker Clinic of Plastic Surgery, 670 Glades Road #220, Boca Raton, FL 33431, E-mail: olgazhadan.md@gmail.com Copyright © 2017 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Society of Plastic Surgeons. All rights reserved.

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