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Breast Reconstruction pp 1515–1529Cite as

Use of Acellular Dermal Matrix (ADM) for the Correction of Breast Implant Malposition

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Abstract

In plastic surgery, the implant of breast prosthesis is the procedure associated with higher rate of reoperations. The malposition of the breast prosthesis is a complication that can occur both in the reconstructive surgery and in aesthetic mammary augmentation, constituting a serious problem not easily solved even at the subsequent revisions. It leads to deformities of the breast, to secondary ptosis, thinning of the breast tissue in the lower quadrants, up to decubitus of the prosthesis and its exposure.

The authors describe the treatment of a series of clinical cases characterized by a significant malposition of the breast prosthesis and poor amount of glandular tissue, exclusively through the use of heterologous non cross-linked acellular dermal matrix (ADM) (Strattice™), to achieve a correct and stable position of the breast prosthesis over time, without additional scars. The ADM promotes the regeneration of the soft tissues, provides to strengthen them and effectively combating the further thinning of the skin. This matrix prevents the retraction of the pectoral major muscle, raised to create the “dual plane” periprosthetic pocket, anchoring it to the inframammary fold. Finally, it strongly reduces the risk of having secondary ptosis with extrusion of the prosthesis and it minimizes the adhesion to the prosthesis and the capsular contracture.

The positioning of the matrix is a relatively simple surgical procedure, but it must be associated with capsulectomy in the area of its implant and capsulotomies for the proper modeling of the periprosthetic pocket. Among the disadvantages of the use of acellular matrix there is definitely its cost and an higher incidence of seroma.

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References

  1. Cunningham B (2007) The mentor core study on silicone memory gel breast implants. Plast Reconstr Surg 120(7 Suppl 1):19S–29S

    Article  PubMed  CAS  Google Scholar 

  2. Spear SL, Murphy DK, Slicton A, Walker PS (2007) Inamed silicone breast implant core study results at 6 years. Plast Reconstr Surg 120(7 Suppl 1):8S–16S

    Article  PubMed  CAS  Google Scholar 

  3. Forster NA, Künzi W, Giovanoli P (2013) The reoperation cascade after breast augmentation with implants: what the patient needs to know. J Plast Reconstr Aesthet Surg 66(3):313–322

    Article  PubMed  Google Scholar 

  4. Tebbetts JB (2006) Dual plane breast augmentation: optimizing implant-soft-tissue relationships in a wide range of breast types. Plast Reconstr Surg 118(7 Suppl):81S–98S

    Article  PubMed  CAS  Google Scholar 

  5. Tebbetts JB (2002) A system for breast implant selection based on patient tissue characteristics and implant-soft tissue dynamics. Plast Reconstr Surg 109(4):1396–1409

    Article  PubMed  Google Scholar 

  6. Chekaroua K, Trevidic P, Foyatier JL, Comparin JP, Delay E (2005) Postoperative complications after breast implantation]. Ann Chir Plast Esthet 50(5):544–553

    Article  PubMed  CAS  Google Scholar 

  7. Toth BA, Scuderi N (2012) International textbook of aesthetic surgery. Lombardi, Rome

    Google Scholar 

  8. Winters ZE, Colwell AS (2014) Role of acellular dermal matrix-assisted implants in breast reconstruction. Br J Surg 101(5):444–445

    Article  PubMed  CAS  Google Scholar 

  9. Langer R, Vacanti JP (1993) Tissue engineering. Science 260(5110):920–926

    Article  PubMed  CAS  Google Scholar 

  10. Spear SL, Sinkin JC, Al-Attar A (2013) Porcine acellular dermal matrix (Strattice™) in primary and revision cosmetic breast surgery. Plast Reconstr Surg 131(5):1140–1148

    Article  PubMed  CAS  Google Scholar 

  11. Hodde J (2006) Extracellular matrix as a bioactive material for soft tissue reconstruction. ANZ J Surg 76(12):1096–1100

    Article  PubMed  Google Scholar 

  12. Formigli L, Benvenuti S, Mercatelli R, Quercioli F, Tani A, Mirabella C, Dama A, Saccardi R, Mazzanti B, Cellai I, Zecchi-Orlandini S (2012) Dermal matrix scaffold engineered with adult mesenchymal stem cells and platelet-rich plasma as a potential tool for tissue repair and regeneration. J Tissue Eng Regen Med 6(2):125–134

    Article  PubMed  CAS  Google Scholar 

  13. Badylak SF (2007) The extracellular matrix as a biologic scaffold material. Biomaterials 28(5):3587–3593

    Article  PubMed  CAS  Google Scholar 

  14. Xu H, Wan H, Zuo W, Sun W, Owens RT, Harper JR, Ayares DL, McQuillan DJ (2009) A porcine-derived acellular dermal scaffold that supports soft tissue regeneration: removal of terminal galactose-alpha-(1,3)-galactose and retention of matrix structure. Tissue Eng Part A 15(7):1807–1819

    Article  PubMed  CAS  Google Scholar 

  15. Kulig KM, Luo X, Finkelstein EB, Liu XH, Goldman SM, Sundback CA, Vacanti JP, Neville CM (2013) Biologic properties of surgical scaffold materials derived from dermal ECM. Biomaterials 34(23):5776–5784

    Article  PubMed  CAS  Google Scholar 

  16. Hodde JP, Record RD, Liang HA, Badylak SF (2001) Vascular endothelial growth factor in porcine-derived extracellular matrix. Endothelium 8(1):11–24

    PubMed  CAS  Google Scholar 

  17. Carlson TL, Lee KW, Pierce LM (2013) Effect of cross-linked and non-cross linked acellular dermal matrices on the expression of mediators involved in wound healing and matrix remodeling. Plast Reconstr Surg 131(4):697–705

    Article  PubMed  CAS  Google Scholar 

  18. Rothamel D, Benner M, Fienitz T, Happe A, Kreppel M, Nickenig HJ, Zöller JE (2014) Biodegradation pattern and tissue integration of native and cross-linked porcine collagen soft tissue augmentation matrices – an experimental study in the rat. Head Face Med 10(1):10

    Article  PubMed  PubMed Central  Google Scholar 

  19. Fosnot J, Kovach SJ 3rd, Serletti JM (2011) Acellular dermal matrix: general principles for the plastic surgeon. Aesthet Surg J 31(7 Suppl):5S–12S

    Article  PubMed  Google Scholar 

  20. Maxwell GP, Gabriel A (2014) Non-cross-linked porcine acellular dermal matrix in revision breast surgery: long-term outcomes and safety with neopectoral pockets. Aesthet Surg J 34(4):551–559

    Article  PubMed  Google Scholar 

  21. Bengtson B (2012) Discussion: use of dermal matrix to prevent capsular contracture in aesthetic breast surgery. Plast Reconstr Surg 130(5 Suppl 2):137S–141S

    Article  PubMed  CAS  Google Scholar 

  22. Hester TR Jr, Ghazi BH, Moyer HR, Nahai FR, Wilton M, Stokes L (2012) Use of dermal matrix to prevent capsular contracture in aesthetic breast surgery. Plast Reconstr Surg 130(5 Suppl 2):126S–136S

    Article  PubMed  CAS  Google Scholar 

  23. Pozner JN, White JB, Newman MI (2013) Use of porcine acellular dermal matrix in revisionary cosmetic breast augmentation. Aesthet Surg J 33(5):681–690

    Article  PubMed  Google Scholar 

  24. Abood A, Rhodes N (2012) A simple technique to enhance breast aesthetics using porcine acellular dermal matrix (Strattice™) in breast reconstruction. Plast Reconstr Surg 130(4):633–634

    Article  Google Scholar 

  25. Dumanian GA (2014) Discussion: applications of acellular dermal matrix in revision breast reconstruction surgery. Plast Reconstr Surg 133(1):11–13

    Article  PubMed  CAS  Google Scholar 

  26. Hartzell TL, Taghinia AH, Chang J, Lin SJ, Slavin SA (2010) The use of human acellular dermal matrix for the correction of secondary deformities after breast augmentation: results and costs. Plast Reconstr Surg 126(5):1711–1720

    Article  PubMed  CAS  Google Scholar 

  27. Eisenberg T (2011) Implant exposure through a breast augmentation incision repaired with porcine acellular dermal matrix (Strattice™): a technique to ensure graft take. Aesthetic Plast Surg 35(4):681–683

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Clinica di Chirurgia Plastica e Ricostruttiva, Ospedali Riuniti “Salesi – Lancisi – Umberto I°”, Via Almerino Luconi 6, Ancona, 60035, Italy

    Antonio Stanizzi M.D.

  2. Plastic Surgery Department, University of Ancona, Ancona, Italy

    Caterina Tartaglione M.D.

Authors
  1. Antonio Stanizzi M.D.
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  2. Caterina Tartaglione M.D.
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Correspondence to Antonio Stanizzi M.D. .

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Editors and Affiliations

  1. Tustin, California, USA

    Melvin A. Shiffman

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© 2016 Springer International Publishing Switzerland

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Stanizzi, A., Tartaglione, C. (2016). Use of Acellular Dermal Matrix (ADM) for the Correction of Breast Implant Malposition. In: Shiffman, M. (eds) Breast Reconstruction. Springer, Cham. https://doi.org/10.1007/978-3-319-18726-6_150

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  • DOI: https://doi.org/10.1007/978-3-319-18726-6_150

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18725-9

  • Online ISBN: 978-3-319-18726-6

  • eBook Packages: MedicineMedicine (R0)

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