Atlanta AlloDerm doctors
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Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon
Lakeside Commons 3543 Highway 81 S , Loganville |
3 answers | |
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Carmen Kavali, MD
Atlanta Plastic Surgeon
5505 Peachtree Dunwoody Road Suite 410, Atlanta |
2 answers | |
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Mark Beaty, MD
Atlanta Facial Plastic Surgeon
2365 Old Milton Pkwy. Suite 200, Alpharetta |
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Andrew Jimerson, MD
Atlanta Plastic Surgeon
6920 McGinnis Ferry Road 360, Suwanee |
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Stanley Okoro, MD
Atlanta Plastic Surgeon
1790 Mulkey Rd Ste. 9B, Austell |
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Recent Answers
After coming across an article on MMA fighters getting tissue implants from donors, I'm curious to know where the cadavers come from? Are they from any deceased organ donor? How about the tissue used to create a tissue matrix like AlloDerm? Hoping to shine some light in reference to a RealSelf blog post.
AlloDerm comes from human cadavers. It is the dermal tissue with all cells removed, so it's non-antigenic. It is harvested by hand now, I believe, to allow for larger grafts to be produced (it used to be harvested by dermatome).
There are other types of dermal matrices available, such as Strattice (also made by LifeCell, the company that makes AlloDerm). Strattice comes from a porcine source (pig skin). Surgimend (TEI Biosciences) comes from a bovine source (cow skin). There is another one that comes from porcine small intestinal mucosa (pig intestine)--Surgisis (Cook Medical). There are others, too, but I think I've listed all the sources (human, pig, cow).
I am a 30 year old woman. In Sept. I had a prophylactic mastectomy with tissue expanders and alloderm. 8 weeks post op the bottom of my rt breast opened (not the incision) The skin turned purple and opened. The same started happening with the left. My ps removed the expanders thinking it was infection. No infection present. Removed drains after surgery and my skin opened again and is draining blood, alloderm and stitches. I have open wounds draining Surgery to remove alloderm is next week. Ideas?
Alloderm can produce seromatous fluld. This is why in tissue expander/Alloderm reconstruction closed suction management is important. Your issues should resolve once the alloderm is removed. Just follow you surgeon's instructions.
Dr. ES
I am a 30 year old woman. In Sept. I had a prophylactic mastectomy with tissue expanders and alloderm. 8 weeks post op the bottom of my rt breast opened (not the incision) The skin turned purple and opened. The same started happening with the left. My ps removed the expanders thinking it was infection. No infection present. Removed drains after surgery and my skin opened again and is draining blood, alloderm and stitches. I have open wounds draining Surgery to remove alloderm is next week. Ideas?
Persistent wound healing issues are usually related to infection or foreign body reaction (permanent sutures, etc). Alloderm isn't a problem, in and of itself, but it can become infected, just like the rest of your breast. A smoldering infection indicates removal of all foreign bodies (suture material) and scar capsule. Your surgeon seems to have a sound plan.