title: Acellular dermal matrix for reoperative breast augmentation.
abstract: Revisionary breast surgery in previously augmented patients is complex, with many variables that have to be considered. Obtaining durable repairs is challenging because these patients often present with thinned breast tissue, inadequate local tissue, and/or scarred breast envelope from multiple procedures. Capsular contracture, ptosis, tissue atrophy, and wrinkling/rippling are some of the most frequent reasons for reoperation. Conventional repair techniques generally involve a combination of capsule modification (capsular flaps), site change, mastopexy, and implant exchange. Recently, acellular dermal matrices have been introduced into revision surgery to reinforce soft tissue, reinforce the implant pocket, and potentially mitigate capsular contracture. Clinical outcomes of acellular dermal matrix-assisted revision surgery are reviewed from the published literature to evaluate the efficacy and safety of acellular dermal matrices for this indication.
authors.affiliation: Loma Linda, Calif. From the Department of Plastic Surgery, Loma Linda University Medical Center.
authors.forename: G Patrick
authors.initials: GP
authors.lastname: Maxwell
authors.forename: Allen
authors.initials: A
authors.lastname: Gabriel
mesh_terms: D062088:Acellular Dermis / Q000706:statistics & numerical data*; D000328:Adult; D018427:Breast Implants / Q000009:adverse effects*; D004954:Esthetics; D019317:Evidence-Based Medicine; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D057910:Implant Capsular Contracture / Q000503:physiopathology / Q000601:surgery*; D016462:Mammaplasty / Q000009:adverse effects* / Q000379:methods; D008875:Middle Aged; D011475:Prosthesis Failure; D012086:Reoperation / Q000379:methods; D018570:Risk Assessment; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult