title: Use of fenestrations in acellular dermal allograft in two-stage tissue expander/implant breast reconstruction.
abstract: The authors present a new technique of alteration of the acellular dermal matrix through strategically placed fenestrations, improving the reconstructive experience and overall cosmetic outcome. The authors present a retrospective chart review following two surgeons' experience at the University of California, Irvine, Department of Plastic Surgery using surgeon-designed fenestrated acellular dermal matrices in two-stage tissue expander breast reconstruction. The authors found that this leads to improved intraoperative fill volume, decreased number of postoperative expansions, increased expansion rate with subjectively less pain, decreased time to full expansion, and subjectively improved cosmetic outcome.
  
  
  METHODS
  Therapeutic, III.
authors.affiliation: Orange, Calif. From the Department of Plastic Surgery, University of California, Irvine.
authors.forename: Jenna B
authors.initials: JB
authors.lastname: Martin
authors.forename: Ryan
authors.initials: R
authors.lastname: Moore
authors.forename: Keyianoosh Z
authors.initials: KZ
authors.lastname: Paydar
authors.forename: Garrett A
authors.initials: GA
authors.lastname: Wirth
mesh_terms: D062088:Acellular Dermis / Q000706:statistics & numerical data*; D064591:Allografts; D018427:Breast Implants; D001943:Breast Neoplasms / Q000473:pathology / Q000601:surgery; D002140:California; D015331:Cohort Studies; D004954:Esthetics; D005260:Female; D005500:Follow-Up Studies; D006084:Graft Rejection; D006085:Graft Survival; D006785:Hospitals, University; D006801:Humans; D057910:Implant Capsular Contracture / Q000453:epidemiology; D016462:Mammaplasty / Q000009:adverse effects / Q000379:methods*; D008408:Mastectomy / Q000379:methods; D011183:Postoperative Complications / Q000503:physiopathology / Q000601:surgery; D012189:Retrospective Studies; D018570:Risk Assessment; D013997:Time Factors; D015625:Tissue Expansion Devices; D016896:Treatment Outcome