title: Acellular dermal matrices in secondary aesthetic breast surgery:  indications, techniques, and outcomes.
abstract: Acellular dermal matrices are integrally involved in the majority of expander-implant reconstructions and complex hernia repairs today, and they are now making their way into secondary aesthetic breast surgery. The number of revisional breast surgery cases has continued to increase as the materials and repair techniques have improved. The aesthetic outcome bar is constantly being raised, and the complexity of patient deformities often requires additional tissues to achieve a successful repair. The most common complications in breast augmentation are reviewed, along with indications and some current repair techniques, general principles, and specific caveats to help plastic surgeons deal with these complex and challenging patient problems utilizing acellular dermal matrices.
authors.affiliation: Grand Rapids, Mich. From the Bengtson Center for Aesthetics and Plastic Surgery and Michigan State University School of Medicine.
authors.forename: Bradley
authors.initials: B
authors.lastname: Bengtson
mesh_terms: D062088:Acellular Dermis / Q000191:economics; D000818:Animals; D001696:Biomechanical Phenomena; D019928:Breast Implantation / Q000191:economics / Q000379:methods*; D003094:Collagen / Q000008:administration & dosage / Q000627:therapeutic use; D003365:Costs and Cost Analysis; D004954:Esthetics; D005260:Female; D006801:Humans; D057910:Implant Capsular Contracture / Q000209:etiology / Q000473:pathology / Q000517:prevention & control / Q000601:surgery; D020007:Implants, Experimental; D016462:Mammaplasty / Q000379:methods*; D010369:Pectoralis Muscles / Q000601:surgery; D011182:Postoperative Care; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D012086:Reoperation / Q000379:methods; D015595:Skin Aging; D013536:Suture Techniques; D015625:Tissue Expansion Devices
chemical_list: C440568:Alloderm; D003094:Collagen