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Professor Adel Wilson is a world renowned Plastic Surgeon, Educator, and Innovator. He was nominated by Who’s Who in Medicine as one of the most influential Plastic Surgeons in this century and repeatedly voted one of the best plastic surgeons in the world. His Innovations and Surgeries are taught worldwide. He pioneered affordable cost Plastic Surgery because Prof Wilson believes it is a right for every individual to look better.

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Tissue Expansion in Plastic Surgery

Tissue expansion is a relatively straightforward procedure that enables the body to “grow” extra skin for use in reconstructing almost any part of the body. These include scar areas that occur after burns, accidents, or skin lesions. Tissue Expansion in Plastic Surgery replaces defective skin, which can be a challenging problem. This is different from skin grafts that almost always end up with a worse aesthetic appearance than the scarred skin.

During the past 3 decades, Plastic Surgeons introduced tissue expansion in plastic surgery, and have since applied it in a wide range of issues. It replaces damaged skin with neighboring skin similar in color, texture, sensation, and retained hairs and sweat glands, which is a huge advantage.

Tissue Expansion in Plastic Surgery is based on the principle of increasing the area of adjacent normal skin, and then using it to replace the area of defective skin.This includes skin stretching, as well as new skin formation.

What are Tissue Expanders?

Prof Wilson inserts a silicone balloon expander under the skin near the area to be repaired. Subsequently, he gradually fills it with saline over time, causing the skin to stretch and grow. He most commonly uses it for breast reconstruction , but also uses it to repair skin damaged by birth defects, accidents, surgery and in certain cosmetic procedures.  Dr Wilson usually uses the rectangular, rounded or crescentic expanders, but other shapes are available for more specific locations. Sizes of the expanders vary from 30 ml to 1200 ml, depending on the site of skin available for expansion.

Tissue Expansion iat Best Plastic Surgery in Egypt for Breast Reconstruction and Scars
Tissue Expanders

Am I a good candidate for Tissue Expansion?

The best candidates for tissue expansion are those who have an ugly scarred area of skin next to a healthy area. Prof Wilson uses tissue expansion best  when he positions the expander against a hard surface (e.g against the skull bones during scalp expansion). He can thus achieve maximal expansion of tissues.  He also uses expansion in other areas such as the limbs and neck, but uses special techniques and more care and extra precautions.

Best Plastic and Cosmetic Surgeon Egypt
Prof Wilson

What should I expect from my Consultation?

During your consultation, Dr. Wilson will measure the area of deformed scarred skin, and plan the area to be expanded in adjacent normal skin. This involves precise mathematical calculations. He will decide the number of tissue expanders needed, as well as their shape, volume and base size. He will consider the design and location of each expander, and give you a rough estimate of the duration of time needed to achieve full expansion.

In advanced complicated cases, Prof Wilson might plan more than one session of tissue expansion. This necessitates a  timetable to achieve the ultimate desired result.

How is Tissue Expansion in Plastic Surgery Performed?

Dr Wilson performs the surgery in two stages:

1- Prof Wilson inserts one or more deflated expanders  under the  healthy skin adjacent to the scarred ugly area.  He performs this surgery under local or general anesthesia, although the latter is preferable when multiple expanders are inserted. 

Care After Tissue Expander Insertion:

After a delay of 6-12 days, the assistant inflates the expander  in the office of Dr. Wilson, usually 2-3 times weekly. The assistant injects an amount of fluid per session depending on the initial size of the  expander. He also considers the quality of overlying skin. He usually injects a volume equal to 5-10           % the volume of expander. The duration of expansion can last 3-12 weeks depending on the size of the expander. It is of utmost importance that you avoid any deep pricks by a needle, which will rupture the expander.

2- Dr Wilson decides on the timing of the second surgery when the expander is fully inflated. Under general anesthesia, he removes the expander and ugly scar. Then he transposes the healthy expanded skin to cover the defect after removing the ugly scar.

A thin scar is all that results after suturing the new skin in place. 

Please press here for a short video by Dr Wilson on how he inserts a tissue expander.

 What are the Risks?

Prof Wilson warns you against infection since this may lead to extrusion of the expander. You should also avoid being pricked by any sharp needle in the area of the expander since this may lead to its rupture. Other minor risks  include seroma formation and expander migration.

What is the cost of Tissue Expansion Surgery?

Professor Wilson believes that affordable cost plastic surgery is the right of every individual. He will never allow financial restraints to prevent you from having a juvenile beautiful appearance. Many factors affect the cost of Ear Surgery, including the extent of surgery, type of surgery, type of cartilage problems, and other factors.  After the consultation, the patient coordinator will offer you an affordable price quote.

You can find here a rough estimate of the cost of tissue expansion surgery.

Please click here for pictures of patients who had tissue expansion with Dr Wilson.