Acellular dermal matrix for the treatment and prevention of implant-associated breast deformities

摘要: Background Acellular dermal matrix has been increasingly accepted in prosthetic breast reconstruction. Observed benefits include improved control and support of implant position, better coverage, the suggestion a decreased capsular contracture rate. Based on this positive experience, it is not surprising that acellular would be applied to other challenging implant-related problems. This study investigates use for correction or prevention implant-associated deformities. Methods Patients who underwent primary aesthetic surgery secondary reconstructive using implants between November 2003 October 2009 were reviewed retrospectively. Patient demographics, indications matrix, type inset pattern identified. Preoperative postoperative photographs, success failure procedure, complications, need related unrelated revision recorded. Results Fifty-two patients had placed alongside 77 prostheses, with mean follow-up 8.6 months (range, 0.4 30.4 months). Indications included bottoming-out (n = 6), treatment malposition 32), rippling 20), 16), skin flap deficiency 16). Seventy-four breasts (96.1 percent) managed successfully matrix. Three failures consisted one following contracture, major infection requiring device explantation, recurrent rippling. There was 9.1 percent total complication rate, consisting three mild infections, necessitating hematoma, seroma. Conclusion experience breasts, shown promise treating preventing rippling, malposition, soft-tissue thinning.