Intracapsular allogenic dermal grafts for breast implant-related problems.
Despite advances in surgical techniques and breast implant design, certain problems unique to breast implant surgery remain. The historically most onerous problem, capsular contracture, is relatively uncommon now. However, problems related to thin capsules and periprosthetic atrophy are becoming more common; these problems include rippling, symmastia, implant malposition, and bottoming out. Options for treatment of these conditions remain extremely limited, particularly with saline implants. Allogenic dermal grafting provides one satisfactory option. Techniques for use of allogenic dermal grafts and early results from 10 patients are summarized in this article, along with histologic analysis confirming viability of the grafts at 6-month follow-up in one patient. No graft-related complications were identified.
Baxter
Richard A
RA
6100 219th Street S.W., Suite 290, Mountlake Terrace, Wash 98043, USA. drbaxter@baxterplasticsurgery.com
D000328:Adult; D001284:Atrophy; D001672:Biocompatible Materials / Q000008:administration & dosage*; D001940:Breast / Q000473:pathology; D018427:Breast Implants / Q000009:adverse effects*; D003094:Collagen / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D016462:Mammaplasty / Q000295:instrumentation / Q000379:methods*; D008875:Middle Aged; D012086:Reoperation
C440568:Alloderm; D001672:Biocompatible Materials; D003094:Collagen