Expansion-augmentation of the breast.

Patient expectations for superlative results with breast augmentation are higher than ever, challenging the surgeon to interpret the patient's desired final breast size correctly and create natural-appearing breasts. One method that gives an aesthetically pleasing result and allows for patient input in determining breast size is the use of overexpansion with the Becker expandable prosthesis. This study shows the results of overexpansion-augmentation in 23 women, all of whom received smooth or textured Becker expandable implants. The procedure involved inflating the prostheses gradually at regular intervals after the initial surgery. When the patient indicated the size she preferred, the implants were inflated with an additional 150 to 200 cc for 4 weeks, at which time the excess was removed. This 4-week overexpansion period results in a natural shaping of the breast and gives patients control over the final size.