AlloDerm: Q&A
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is AlloDerm Usually Used For BA and is the Implant Placed Under the Pectoralis Major?
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17 Doctor Answers |
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cdt
in omaha
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Alloderm is not used for primary breast augmentation
Generally Alloderm is not used for primary breast augmentation. Alloderm is most often used in conjunction with re visional breast augmentation. Alloderm is best used when there are deformities to a previous, unsatisfactory breast augmentation.
Breast implants can be placed either under the breast tissue and over the pectoral muscle, or under both the breast tissue and pectoral muscle. The majority of patients choose to have the implant placed under the muscle where there will be more...
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AlloDerm and breast surgery
AlloDerm is commonly used for breast reconstruction with implants following mastectomy. AlloDerm is not utilized in primary breast augmentation. However, there is a role for these dermal matrix products in revisional breast augmentation surgery (to correct deformities from prior breast augmentation surgery).
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AlloDerm use and Breast Augmentation
In most primary breast augmentation surgeries, the use of AlloDerm (acellular dermal matrix graft) is not necessary. In some cases - breast reconstruction after mastectomy, breast lift in which the tissue strength is poor, or secondary breast augmentation surgery for capsular contracture - Alloderm can provide for better/stronger tissue coverage over an implant, than a patients natural tissues alone.
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Breast Augmentation, is Alloderm worth it?
As most of the answers have indicated , Alloderm or acellular dermal matrix ( there are other similar products on the market under different brand names) is NOT generally used for primary or first time augmentation patients. There is a growing body of work indicating it may play a helpful role in revisional surgery. We all are seeing more patients who require revisional surgery so it is gaining popularity. The cost of the product is an issue for those patients paying out of...
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Alloderm and breast augmenation
Alloderm is an acellular human dermal matrix ( in other words, human skin that has been donated from an organ donor and processed). I use an Alloderm - type product (there are several on the market) mostly for breast reconstruction cases ( breast cancer patients). I will, however, use it in cosmetic patients for special circumstances such as difficult revision cases with either refractory capsular contractures or thinning of the soft tissue and skin cover that can be bolstered by...
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Alloderm is used for reconstructive purposes
Alloderm is used in our practice mostly for reconstructive breast surgery. It can also be used for breast augmentation revisions, however there is no clear indication for its use in primary breast augmentation.
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Alloderm for breast augmentation
I do not use alloderm for primary breast augmentation surgery. I do, however, use it for revisionary breast surgery for patients who have implant mal-position, rippling, patients with thin skin, etc. I find that generally, primary breast augmentation with implants placed under the muscle give the best results.
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AlloDerm Not Used in Primary Augmentation
I am not aware of any surgeons who would use AlloDerm in the performance of a primary breast augmentation, although I almost always use it in breast reconstructions. AlloDerm is a useful but expensive ADM which is not typically indicated in initial augmentations. It can be of use in treating capsular contracture during revisional surgery.
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Alloderm and breast augmentation
Alloderm, strattice or other forms of acellular dermal matrices are not commonly used in primary breast augmentation surgery, but are sometimes used in complex revision procedures.
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Breast implants above vs. below the muscle
Alloderm is not usually used for first time breast augmentation. It may be used in revision procedures for a variety of reasons.
The implants can be placed under the pectoralis major muscle or on top of it. The decision where to place needs to be made by you and your surgeon based on your goals, current condition and your surgeon's experience.
I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for...
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Los Angeles Plastic Surgeon
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Alloderm is NOT usually used in first-time breast augmentation!
Alloderm, Strattice, and other ACDs (acellular dermis) or ADMs (another acronym for the same thing: acellular dermal matrices) are basically collagen sheets that are used to help support implants in redo, reconstructive, or difficult thin-tissue breast surgeries. They are expensive, they do degrade and dissolve over time, and they don't add a lot of bulk or additional thickness, but may very well help to salvage a situation that has failed other options.
ACDs are sort of in a...
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Breast augmentation and Alloderm
Alloderm is rarely indicatied in breast augmentation. If this is being considered for you, you need to understand what benefit it is intended to give. Certainly, it can be a useful solution for some specific problems. Get your doctor to explain.
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Alloderm or Strattice for breast augmentation revisions
Alloderm and Strattice are both made of a material called acellular dermal matrix, or ADM, which can be used to make a sort of living internal bra. Alloderm is most commonly used in breast reconstruction to support an implant from the bottom, while the pectoral muscle covers the top part. For breast augmentation, problems such as rippling, double bubble, animation deformities, and capsular contracture are often best treated using Strattice.
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Alloderm for breast augmentation
Alloderm is not usually used for breast augmentations. Some plastic surgeons use it for a breast lift or in breast reconstruction. I prefer to use transitional mesh if I need to elevate the breast tissue and or the implants. There are fewer complications with the mesh. I also prefer to place silicone implants under the fascia not the pectoralis muscle.
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Breast implant placement and use of Alloderm for breast augmentation
AlloDerm is an acellular human dermal matrix which can be very useful during breast reconstructions and for correction of specific problems following breast augmentation. It is very expensive, and almost never indicated for a primary breast augmentation.
I perform "dual plane" breast augmentations, which places the upper portion of the implant behind the pectoralis major muscle and the lower portion of the implant on top of the muscle. Placing the upper portion of...
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Alloderm is rarely used in breast augmentation
Regarding the second part of your question, under the muscle breast augmentation is the most common approach. Alloderm is prepared human dermis, and is only used when there is a problem keeping an implant in the correct position, or perhaps because of recurrent capsular contracture. The graft is expensive and has risks all its own, and best used for revision of 'special' circumstances.
Best of luck,
peterejohnsonmd
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Allograft and breast augmentation.
Typically, substances like alloderm are used in revision augmentations rather than primary. It can be especially helpful for implant malposition. The expense and other factors (drains etc.) preclude it from being used at the first surgery. Plus, it's not really indicated for that purpose. Regarding muscular coverage, most times the alloderm is used on the lower border of the pec muscle and the implant has partial muscular coverage. This can vary depending on technique used. I would...
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