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The Use of Acellular Dermal Matrices in Implant-Based Breast Reconstruction

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Oncoplastic and Reconstructive Breast Surgery

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Abstract

Implant-based techniques are the most widely used approaches to breast reconstruction of the world today. In the United States alone, they account for six times the number of reconstructions compared with all autologous reconstructive techniques combined. Two-stage expander-implant reconstruction is one of the most widely used forms of breast reconstruction, although single-stage direct-to-implant reconstruction is becoming increasingly popular. Despite the popularity of implant-based techniques, they have been fraught with the problems of capsular contracture, rippling of implants beneath the overlying thin skin envelope, and pseudoptosis of the device as the lower pole skin attenuates with time. Numerous solutions to these issues have been tried often with little success. During the past 14 years, acellular dermal matrices have been increasingly incorporated into implant-based reconstructions and appear to offer a degree of resolution to many of these troublesome issues.

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Author information

Authors and Affiliations

  1. Department of Plastic Surgery, Proctor Hospital, Peoria, IL, USA

    Glyn Jones

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  1. Glyn Jones
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Editor information

Editors and Affiliations

  1. Our Lady of Grace Hospital, Positivo University, Curitiba, Brazil

    Cicero Urban

  2. Plastic and Reconstructive Division, European Institute of Oncology, Milan, Italy

    Mario Rietjens

  3. Memorial Sloan Kettering Cancer Center, New York, USA

    Mahmoud El-Tamer

  4. Memorial Sloan Kettering Cancer Center, New York, USA

    Virgilio S. Sacchini

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Jones, G. (2019). The Use of Acellular Dermal Matrices in Implant-Based Breast Reconstruction. In: Urban, C., Rietjens, M., El-Tamer, M., Sacchini, V.S. (eds) Oncoplastic and Reconstructive Breast Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-62927-8_38

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  • DOI: https://doi.org/10.1007/978-3-319-62927-8_38

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-62925-4

  • Online ISBN: 978-3-319-62927-8

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