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.

摘要: 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 durability over while allowing for improved shape reconstructed breast. This study reports operative technique used series reconstructions saline immediate one-stage procedure. Complications appearance were evaluated all reconstructions. Indications inframammary fold lower pole enhancement chest skin advancement discussed. Twenty-three patients included study; 11 had unilateral 12 bilateral 35 total All following skin-sparing mastectomy. Nine flap with reconstruction. mean follow-up was 9.5 months range 1 24 months. occurred 3 patients. Human can successfully be conjunction achieve aesthetically pleasing one stage at time expander its associated risks costs are eliminated. complication rate is low. In addition, either or augment improve opposite