By Richard E. Baxter
Topics contain: Defining the problem/proof of suggestion; The reconstructive version; Do ADM's swap the explanation for fast vs. delayed?; Direct to implant reconstruction; Capsular contracture and ADM's; Pocket reinforcement/bottoming out; ADM's within the irradiated breast; rising functions; comparability of alternative ADM fabrics; advice and pearls; fiscal issues
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Extra resources for Acellular Dermal Matrices in Breast Surgery, an Issue of Clinics in Plastic Surgery
Parikh, E. Reisin, et al. Acellular dermis-assisted breast reconstruction. Aesthetic Plast Surg. 2008;32(3):418-425. 14. C. Derderian, N. Karp, M. Choi, et al. Wise-pattern breast reconstruction: modification using AlloDerm and a vascularized dermal-subcutaneous pedicle. Ann Plast Surg. 2009;62(5):528-532. 15. L. Jansen, S. Macadam. The use of Alloderm in postmastectomy alloplastic breast reconstruction: part II. A cost analysis. Plast Reconstr Surg. 2011;127(6):2245-2254. Clinics in Plastic Surgery, Vol.
A capsulorrhaphy had been performed because of lower fold malposition with the first implants. The patient expressed concerns about severe rippling but was generally pleased with the size. 3A, B). Implant coverage over the upper pole was estimated at less than 1 cm by pinch test. Base diameter was measured at 13 cm. Analysis suggested a problem of both coverage and support. With the implants already in the submuscular plane, additional options for coverage were needed, and with improved lower pole support the traction effect could be minimized.
Correction of implant rippling using allograft dermis. Aesthet Surg J. 2001;21(1):81-84. 26. P. Maxwell, A. Gabriel. Use of the acellular dermal matrix in revisionary aesthetic breast surgery. Aesthet Surg J. 2009;29(6):485-493. 27. L. M. Parikh, E. Reisin, et al. Acellular dermis-assisted breast reconstruction. Aesthetic Plast Surg. 2008;32(3):418-425. 28. N. Ehsani, G. Slack, K. Fan, et al. Adipose derived stem cells proliferate and differentiate on human acellular dermis. Plast Reconstr Surg.