Endoscopically assisted tissue expander insertion using balloon dissection

A method of tissue expander insertion using balloon dissection and endoscopy is presented. Intissue expander operations, accuracy and atraumatic techniques are important for preventing complications, and the endoscopic balloon provides safer and faster dissection of the fascial plane than can be achieved with endoscopic scissors, allowing the creation of subcutaneous pockets for tissue expander placement. The balloon can separate loose areolar tissue between deep and superficial fascia, forming a fascial cleft. The procedure has been used in 10 cases with satisfactory results.