What is a Typical Timeframe To Keep in Tissue Expanders After Final Fill?

Many plastic surgeons differ somewhat on their tissue expander timeline for breast reconstruction.  Most agree that the expanders do need to be in place for somewhere between 3-6 months before being removed for the second stage procedure to place permanent implants.  There is no absolutely correct answer to your question.  Surgeons work off the timeline they feel most comfortable with.  For myself, I keep the tissue expanders in place for a minimum of 4 months total and 3-4 weeks following the last expansion in general.  However, I have many patients go through chemotherapy at some point and we delay things while their immune systems are so fragile.  So, it is not uncommon for me to be performing the second stage procedure 6 months or so after the first.  It can even be put off longer if the patient desires.  It sounds like your plastic surgeon may have a reason for his game plan.  If you wish to delay it, call his office to discuss it further and find out more about the rationale.  You guys may be able to reach a compromise on the timing.

The reason for a waiting period after the last expansion before replacement of tissue expanders with implants is that the tissue needs to have time to stretch and accommodate to the increased size. I usually prefer to wait around 6 weeks for this process to occur. Of course, each case is unique so it is important to speak to your board certified plastic surgeon.

There is no set time on when to exchange tissue expanders for the final implant in breast reconstruction.  Typically around 4 weeks gives the tissue time to "settle" before final placement.  If you have specific questions I would recommend talking to your surgeon.  Hope this helps.