San Diego AlloDerm doctors
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Tom J. Pousti, MD
San Diego Plastic Surgeon
8851 Center Drive Suite 300, San Diego |
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8 answers |
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Jason R. Hess, MD
San Diego Plastic Surgeon
4060 4th ave Suite 120, San Diego |
4 answers | |
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Glynn Bolitho, PhD, MD, FACS
San Diego Plastic Surgeon
9834 Genesee Ave Ste 311, La Jolla |
1 answer | |
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Paul E. Chasan, MD
San Diego Plastic Surgeon
1431 Camino Del Mar , Del Mar |
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Steve Laverson, MD
San Diego Plastic Surgeon
477 North El Camino Real Suite D-304, Encinitas |
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Recent Answers
I'm about to have surgery, where my doctor is going to use Alloderm. After reading that Alloderm is not sterile, how concerned should I be?
Acellular dermal matrix (ADM) is derived from human tissue and has proved very useful in breast reconstruction, hernia repair and a variety of other applications. Donors to the tissue banks are very carefully screened and consented prior to use of tissue, with only 3% of donors accepted (MTF). The dermal allograft is then subject to a variety of techniques that clean or sterilize the tissue. Some of the processes that sterilize the tissue result in damage to the tissue quality, while others maintain the tissue quality while reducing the infective risk to a nationally accepted standard. Both types of products are available to surgeons and it is usually a question of surgical judgement as to which product is used.
my research of Mastectomy shows that some surgeons used Alloderm. Wondering what it is and how it helps the Mastectomy recovery
Thanks for the question.
Acellular dermal matrix (ADM) is a biological implant that carries the ability to become integrated into native tissue. It is made by taking a full thickness section of skin from a donor source (human cadaver, porcine, or bovine in origin). In the case of human donors, the tissue is screened for infectious diseases such as HIV and hepatitis. Cellular elements are removed from the tissue.
ADM can be helpful in improving contour for significant irregularities after breast surgery. For example, top ability/rippling a breast implants maybe covered or camouflaged with the use ofADM. in addition significant income opposition can be corrected with ADM providing additional support for the implant. This can be especially helpful for patients with a paucity of skin elasticity or soft tissue coverage. For example, ADM has been use successfully to reinforce and support capsulorraphy to treat symmastia (medial malposition of breast implants), bottoming out (inferior malposition of breast implants), or lateral displacement (implants falling sideways especially when patient lies down) of breast implants.
I hope this helps.
I have severe scaring from breast implant and need to have another procedure to remove scar and re insert implant. Doctor suggest to put in AlloDerm to minimize future scaring. I am very conservative and not really convinced that I want it. It's a foreign object that could have unnecessary complications, how small the chance it might be. It's not like I had a mastectomy. Would you say there's a good arguement for and against the AlloDerm in breast implants? Thank you for your time.
The use of AlloDerm for patients who develop capsular contracture to decrease that possibility is being studied.. not proven at this time. You need to make sure that you are comfortable with your decision for revisionary surgery. You must understand that (with or without the Alloderm) you do have the chance of getting the scar tissue again after your revisionary surgery. Some patients choose to have the revision surgery, some choose to remove their implants completely. This is an important discussion that you need to have with your surgeon.