In conjunction with the newer breast-conserving operations, plastic surgical procedures offer women multiple options for breast reconstruction. The implantation of a fluid-filled (now most-commonly saline) sac beneath the pectoralis muscle restores the contour of the breast and eliminates the need for an external prosthesis. This may be done at the time of the cancer surgery or at a later time. If the skin is too tight for immediate implantation, an inflatable silicone expander can be inserted, to be later replaced with the prosthesis.
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