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A tissue expander is inserted following the mastectomy to prepare for reconstruction. The expander is gradually filled with saline through a separate tube to stretch the skin enough to accept an implant beneath the chest muscle. After the surgery the breast mound is restored. The areola is reconstructed at a later date. With flap surgery, tissue is taken from the back and tunneled to the front of the chest wall to support the reconstructed breast. The transported tissue forms a flap for a breast implant, or it may provide enough bulk to form the breast mound without an implant. Tissue may be taken from the abdomen and tunneled to the breast or surgically transplanted to form a new breast mound...
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