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Breast Augmentation with Use of Strattice and Distortion
I will be having a breast sugmentation redo in the near future, and my new PS suggested using Strattice to help support my new implants. My question is about distortion when I flex my pec muscles. Will tacking the crease and muscle together with the Strattice increase the distortion when I flex?
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HF 37
in DE
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Avoid Stratice! Your own body has a much better structure: Fascia intelligent use of the subfascial plane is the answer
Avoid Stratice! Your own body has a much better structure: Fascia intelligent use of the subfascial plane is the answer
The problems that lead to suggested use of Stratice and dermal fillers are way too common. The reality of breast augmentation is that most women have similar results and are simply not aware that there is a better option. The most commonlyt used technique is the "dual-plane" subpectoral placement. this...
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Strattice can help minimize flexion distortion, shouldn't make it worse
I have been using acellular dermal grafts for 10 years, and the development of Strattice for augmentation revisions has been very helpful. The flexion distortion that can occur after submuscular implant placement is due to the fact that the muscle has been cut off of its attachment to the ribs, which is necessary for the dual-plane procedure. This results in a free muscle edge in front of the implant, where it heals into the scar capsule. Flex the muscle and it pulls on the capsule,...
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VIDEO: Implant distortion with muscle contraction: dynamic breast deformity
Unless you place the implants above the muscle, it is nearly impossible to avoid the distortion that occurs with muscle contraction. When the strattice is used the attach the muscle to the crease, it can minimize the distortion of the breast tissue but still cause displacement of the implant laterally with contraction.See linked video.
see video
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Acellular cadaveric dermal grafts (Strattice or Alloderm) has no effect on pec flexion
Unless you are a postmastectomy reconstruction patient, the use of (ACD grafts) Strattice or Aloderm should neither improve or worsen pectoralis muscle flexion. For the past 6 years, I have used both Neoform, Alloderm and Strattice of inferolateral sling stabilization, camouflaging of inferolateral implant wrinkling and as an adjunct to capsulectomy in revisional breast implant patients. The results have been very satisfactory and long lived.
The postmastectomy...
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Secondary Breast Augmentation with Alloderm or Strattice
The Alloderm or Strattice is being used to help support your breast implant. You have have not included pictures which would be helpful in giving you more specific advice. However, if during your initial operation the implants ended up too low or misplaced, then using Alloderm or Strattice in a secondary operation may be very useful. The flexion deformity will not be affected significantly from the Alloderm or Strattice. Good luck.
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Breast augmentation with use of Strattice/Alloderm and distortion
The use in a redo augmentation of Strattice will not effect whether you will have the muscle flexion distortion or not. There is no relationship.
Sorry from MIAMI DR. B
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Strattice and implants
I assume this is a redo because of either bottoming out or rippling. The strattice will have no effect on the pec flexing.
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Artifical Dermis (Alloderm Strattice) and Breast Augmentation
Revision breast augmentation is a challenging operation and acellular dermal matrices have been very helpful in treating challenging situations. These serve to help reinforce the breast crease, camouflage visible implants and correct malposition to name a few. There are some risks with this procedure, however. Animation deformities are possible with any subpectoral augmentation as the muscle may move the implant, this would be difficult to predict with the use of a...
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Breast Augmentation and Strattice
I wouldn't worry about any sort of flex deformity from using the Strattice. In reality, it should be the same whether you have the strattice or not. The strattice will support the implant and keep it from falling more then desired.
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