Breast Revision Using ADM (Acellular Dermal Matrix)? (photo)

I've had my implants for 11 yrs with no complications. Last week I awoke to one breast being encapsulated. Thus far, I've visited two doctors. One Dr. suggested replacing my low profile saline implants with high profile saline and repositioning the nipple... the other Dr. suggested replacing my saline implants with silicone and doing a full lift using ADM. I was told when scar tissue is removed, chances of scars reoccurring is very high. Using ADM would prevent any future scarring. Is this true?

Tags:

encapsulated minimal scarring

Comment on this

6 Doctor Answers | Asked by IPL and laser damage in Ca.

Doctor Answers (6)
Community Comments (1)

Breast Revision and ADMs

Hello, I believe you've posted before, no? I disaggree with both doctors. High profile implants will give you a ballish look like a contracted implant, especially if your tissues are thin. In addition, they cause more long term thinning of your tissues, and are more likely to drop down out of the cover of your muscle, kind of where your implants are now. It is in vogue to use these implants because the companies push them, and surgeons are not aware of their... more

Does ADM Eliminate Chance of Recurrent Scar Tissue?

Thank you very much for this thought provoking question. I'm assuming your capsular contracture is on the left, although you did not state that. I would agree with your second doctor that you need silicone implants and some form of lift. Another piece of information that we would need to know in order to give you a complete answer would be, are your implants above or below the muscle. If they are above the muscle, then pocket switching would certainly be useful. ... more

Breast Revision Using ADM (Acellular Dermal Matrix)?

These implants look as though they are above the muscle from the appearance in the photo. You would be well served by having them replaced in the submuscular position. A breast lift is highly recommended. Contractures recur at quite a high rate, and the early reports with ADM (acellular dermal matrix) seem to show that this material decreased the chances of recurrence. I tend to agree with the suggestion that you switch to silicone. As far as profile of the implant goes, I... more

Capsule

Acellular dermal matrix has become popular as a way of dealing with implant encapsulation. I have no experience with it, but I have heard it is quite successful in preventing recurrent encapsulation. There are some other considerations, however. A lift with new silicone implants and ADM is going to be a pricey undertaking. Plastic surgeons seem to be a little overly anxious to jump on the ADM bandwagon, not knowing what the long term... more

Breast Surgery Revision

Based on your photos, it appears you have some encapsulation on your left side. With a revision plan I would like recommend removal of your implants with a total capsulectomy (removal of current scar tissue) and placement of new implants ideally into a virgin pocket (that has not seen any scar tissue formation). In addition, I would likely recommend a breast lift to address your ptosis. Since this is the first time you are experiencing hardening of your 11 year old... more

Options For Capsular Contracture

From your story and the photo, it appears that you have aged implants and the capsule most notably on the left. There is no absolute answer to your question unfortunately. You do need a lift on both sides and once the capsules are removed this will be even more evident. The ADM would be used to help support the implant after the capsule removal as well as help limit the potential for reformation. The ADM is a great tool, but also expensive as a result, not everyone will use it for the first... more