Immediate Single-Stage Breast Reconstruction Using Implants and Human Acellular Dermal Tissue Matrix With Adjustment of the Lower Pole of the Breast to Reduce Unwanted Lift
- 1 November 2008
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Annals of Plastic Surgery
- Vol. 61 (5), 494-499
- https://doi.org/10.1097/sap.0b013e31816d82d9
Abstract
Breast reconstruction using implants remains an aesthetic challenge toward achieving symmetry and natural appearance. Closing the areolar defect results in a vertically elevated breast mound. The use of human acellular dermal tissue matrix has been reported to provide coverage and durability over breast implants while allowing for improved shape of the reconstructed breast. This study reports the operative technique used in a series of breast reconstructions using saline implants and human acellular dermal tissue matrix in an immediate one-stage procedure. Complications and appearance were evaluated for all reconstructions. Indications for inframammary fold reconstruction and lower pole breast enhancement using chest skin advancement were discussed. Twenty-three patients were included in the study; 11 had unilateral reconstruction and 12 had bilateral reconstruction for 35 total reconstructions. All patients had immediate reconstruction following skin-sparing mastectomy. Nine patients had inframammary fold reconstruction and 11 patients had a lower chest advancement flap with fold reconstruction. The mean follow-up was 9.5 months with a range of 1 to 24 months. Complications occurred in 3 patients. Human acellular dermal tissue matrix can successfully be used in conjunction with breast implants to achieve an aesthetically pleasing breast reconstruction in one stage at the time of skin-sparing mastectomy. The use of a tissue expander and its associated risks and costs are eliminated. The complication rate is low. In addition, either inframammary fold reconstruction or lower chest advancement and fold reconstruction to augment lower pole skin coverage can improve symmetry with the opposite breast.Keywords
This publication has 19 references indexed in Scilit:
- Nonexpansive Immediate Breast Reconstruction Using Human Acellular Tissue Matrix Graft (AlloDerm)Annals of Plastic Surgery, 2006
- Total skin-sparing mastectomy without preservation of the nipple-areola complexThe American Journal of Surgery, 2005
- Acellular Cadaveric Dermis (AlloDerm): A New Alternative for Abdominal Hernia RepairAnnals of Plastic Surgery, 2004
- Skin‐sparing mastectomyCancer, 2003
- Use of AlloDerm for Coverage of Radial Forearm Free Flap Donor SiteThe Laryngoscope, 2002
- Revascularization of acellular human dermis (alloderm) in subcutaneous implantationAesthetic Surgery Journal, 2000
- Early Results of Vermilion Lip Augmentation Using Acellular Allogeneic Dermis: An Adjunct in Facial RejuvenationPlastic and Reconstructive Surgery, 2000
- TRANSPLANTED ACELLULAR ALLOGRAFT DERMAL MATRIXTransplantation, 1995
- The Psychological Impact of Immediate Breast Reconstruction for Women with Early Breast CancerPlastic and Reconstructive Surgery, 1984
- A Lower Thoracic Advancement Flap in Breast Reconstruction after MastectomyPlastic and Reconstructive Surgery, 1982