Breast Reconstruction: Q&A
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How is Alloderm Used During Breast Reconstruction?
How do medical products like Alloderm aid in breast reconstruction procedures?
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26 Doctor Answers |
Asked by
Eva S
in Seattle, WA
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Breast Reconstruction with Alloderm and Implants
Alloderm, or other similar products, are frequently used in breast reconstruction with expanders and implants. The expander or implant is placed below the muscle (pectoralis major). Themuscle only covers the top half of the implant. In the past, other muscles were also mobilized to cover the inferior portion of the implant or expander. In the present time, many surgeons use the Alloderm or similar acellular dermal matrix to cover the lower half of the implant. From El Paso, Las Cruces,...
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Alloderm and breast reconstruction
Alloderm, or any of the other biological products, has taken the place of the lower muscles that used to be integral to breast reconstruction with a tissue expander or implant. When undergoing breast reconstruction with a tissue expander, the expander is covered by your pectoralis major muscle. However, this only covers the top portion of the expander.
Ten years ago, the standard was to lift up some of your abdominal muscle and side muscles to cover the expander completely. Howeever,...
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Breast reconstruction with Acellular Dermal Matrix
The use of the acellular dermal matrix (such as AlloMax, AlloDerm, FlexHD, etc.) has grown in its applications and use in plastic & reconstructive procedures, and continues to expand. It has truly been a remarkable addition for breast reconstruction.The acellular dermal matrix is a tissue that is specially-prepared, which comes from cadaveric skin. It has been processed in such a way that the basement membrane and cellular matrix remain intact, while removing all other cellular...
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Acellular dermal matrix (alloderm)
Acellular dermal matrices are products that may be used as part tissue expander or implant-based breast reconstruction. These products are sutured in place over the breast expander or implant and beneath the skin. They may aid in maintaing the inframammary crease of the breast and providing additional coverage over the implant
Chicago Plastic Surgeon
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Role of Alloderm in Breast Reconstruction
Alloderm is a materai dervied from processed human dermis, which the strong layer of the skin. Alloderm is used to supplement the strength and thickness of the mastectomy skin flaps to allow for use of implants in cases where the breast implant might extrude, or displace by stretching out the mastectomy flap, or be more likely to form a capsular contracture particularly after radiation therapy.
While Alloderm may help to reduce the chance of those problems, I prefer to use...
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"The first use of alloderm in the breast"
This procedure of using Alloderm for breast surgery was first utilized by me in 2010.The idea was to extend the pectoralis muscle and avoid expanders. Since that time we have performed this procedure on more than 800 breasts with only a small incidence of complications and the procedure has now become the "gold standard " for breast reconstruction.
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How Alloderm has helped in reconstruction
As you have read from other plastic surgeons, Alloderm is processed human tissue devoid of cells including immune markers which has greatly improved the quality, predictabilty and options in breast reconstruction. It can provide for a more predictable placement of an implant or expander in am immediate reconstruction as well as increased tissue thickness. It also allows for more precision in the creation/preservation of the fold at the lower part of the breast.
Studies have...
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Alloderm
Alloderm is cadavaric skin that is treated and used as a biologic to reinforce the soft tissue coverage of the lower pole and protect the expander from exposure.
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Alloderm inBreast Reconstruction
Reconstruction using a breast implant can generally be accomplished in one of two ways:
* Using a tissue matrix such as AlloDerm in conjunction with a breast implant in a single stage procedure
* Using a tissue expander that is subsequently replaced by a breast implant; this process requires two separate procedures, usually months apart
Breast implants used in reconstruction cannot generally be placed directly in the space created by the removal of breast tissue. The reason for...
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Dermal matrix in breast reconstruction
Hello,
Alloderm(TM) and other dermal matrix products have increasingly become the norm in tissue expander/implant reconstruction. The basic concept is that dermal matrices have no living cells anymore, but have a scaffolding, template of collagen and other structural molecules that allow your own tissue to grow along the scaffold.
Historically, when expanders/implants were used in breast reconstruction for mastectomy patients, the surgeon would lift up portions of other muscles,...
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