Primary breast reconstruction with a subpectoral silicone tissue expander.

A Silastic tissue expander inserted subpectorally at the time of modified radical mastectomy has provided early development of the reconstructive envelope, thereby simplifying matching of the contralateral breast. Significant emotional support for the woman faced with imminent loss of her breast has been repeatedly observed. The early interaction of general and plastic surgeons in the management of breast cancer has been found to be beneficial to both patients and physicians.