Directional tissue expander

1. An expandable mammary tissue implant comprising:

a shell having an anterior face and a posterior face having a periphery, the anterior face having an upper pole region and a lower pole region meeting at an apex, and an injection zone for receiving fluid therethrough to inflate the implant;

a first reinforcing material having (i) a peripheral rim portion that extends from the periphery of said posterior face and (ii) an upper periphery, said first reinforcing material coupled to the shell such that the first reinforcing material does not extend along the entire anterior face;

a second reinforcing material coupled to the shell and extending along a portion of the anterior face of the shell;

wherein the first reinforcing material overlaps or abuts the second reinforcing material, at or adjacent the upper periphery of the first reinforcing material and in at least two locations on opposite sides in the upper pole region thereby forming a hinge point on each of said opposite side of the upper pole region, and

wherein a portion of the lower pole region is not reinforced by either the first or second reinforcing material;

further comprising at least one insert member within the implant, that lies in a plane substantially parallel to the posterior face of the shell and is coupled to the implant in one or more locations substantially adjacent to the upper periphery of the first reinforcing material the at least one insert member has at least one cutout or aperture positioned to correspond to or substantially align with the hinge point on each of said opposite side of the upper pole region.

2. The implant according to claim 1 , wherein the first reinforcing material further extends within the implant along the entire posterior face of the shell.

3. The implant according to claim 1 , further comprising

an injection zone in the upper pole region of the anterior face for receiving fluid therethrough to inflate the implant; and

a vertical tether member having first and second ends and a central region therebetween having an aperture therethrough, wherein the central region is coupled to the anterior face of the implant at a location such that the injection zone is positioned within the aperture in the central region, and wherein the first and second ends of the vertical tether member are coupled to the posterior face of the implant.

4. The implant according to claim 1 , wherein the at least one insert member is a strip coupled at first and second ends thereof in said one or more locations substantially adjacent to the upper periphery of the first reinforcing material.

5. The implant according to claim 1 , further comprising

an injection zone in the upper pole region of the anterior face for receiving fluid therethrough to inflate the implant; and

a vertical tether member having first and second ends and a central region therebetween having an aperture therethrough, wherein the central region is coupled to the anterior face of the implant at a location such that the injection zone is positioned within the aperture in the central region, and wherein the first and second ends of the vertical tether member are coupled to the posterior face of the implant.

6. The implant according to claim 5 , wherein the at least one insert member has at least first and second apertures therein, and the vertical tether member has first and second vertical portions on either side between the central region and the respective first and second ends, and

wherein the first and second vertical portions extend through said respective first and second apertures of the insert member.