Part IV: Dermal Matrices in Secondary Breast Augmentation
Owing to the benefits of acellular dermal matrices in breast reconstruction surgeries, it has also been applied to various implant related changes, namely implant associated breast deformities.31 The use of acellular dermal matrices can be used to improve coverage and durability of implants as well as obtaining better shape of the reconstructed breast.17 In a study conducted between 2003 and 2009, Spear et al31 reviewed 52 patients who had acellular dermal matrix with 77 breast prostheses. The authors established indications for use of dermal matrix as being; deficiency of skin flap, treatment of malposition, rippling, capsular contracture and implant bottoming-out. 74 of 77 were deemed successful with only 3 failures; rippling in one patient, infection in the other and bottoming out in the third. In a series of 34 patients, with breast implant related problems, Duncan32 found a 2.9% capsular contracture rate with an 85% patient satisfaction rate and an improvement in palpable rippling. To address breast implant rippling, contracture, symmastia and bottoming out using human acellular dermal matrix, Baxter33 found stable outcomes in 80% of revisions. Over a 52 month follow up period, Salzberg9 reported a 0% rate of contracture. The same result was observed in studies conducted by Zienowciz and Karacaoglu14 as well as Breuing and Colwell13.
Continue on to other Dermal Matrices in Breast Augmentation Articles
Part I: Types of Dermal Matrices in Breast Augmentation
Part II: Dermal Matrices in Breast Augmentation
Part III: Complications of Dermal Matrices in Breast Augmentation
Part IV: Dermal Matrices in Breast Reconstruction
Part V: Dermal Matrices in Breast Augmentation Summary
Click on the links below to view a few of the chapters written by Dr. Hughes
Chapter 1: Preoperative Workup in the Plastic Surgery Patient
Chapter 2: Photography in Plastic Surgery
Chapter 3: Facelift
Chapter 4: Fat Grafting
Chapter 5: Fillers
Chapter 6: The Role of Dermal Matrices in Breast Augmentation
Chapter 7: Scar Revision in Plastic Surgery
Or Continue on to Breast Augmentation Photo Galleries
