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Breast Revision - Sling Made from Cadaver Skin to Keep Breasts from Dropping?

asked 1 year ago by imloved4 in Temecula ca
Latest answer by Richard Linderman, MD
Question viewed 3,120 times
Tags: drop, revision, sling

I had lost about 100 pounds then had a breast lift with implants. I have had 3 revisions since as they keep dropping. The last time the doctor removed the capsil and a lot of extra skin yet they dropped again. Now he is talking about another revision using a sling made out of cadaver skin. Do you know anything about this procedure? He said the other alternative would be to stitch to the ribs. Not sure what to do. He said my problem is that i have thin skin that is not very elastic.

13 answers to Breast Revision - Sling Made from Cadaver Skin to Keep Breasts from Dropping?

Strattice for bottoming out.

Strattice would be a great solution for your bottoming out problem. It will act as an "internal bra" to support and hold the implant in the correct position. I commonly use Strattice for bottoming out, fold malposition, symmastia, wrinking and rippling, and mastopexy/augmenation.

C. Andrew Salzberg, MD
Westchester Plastic Surgeon

Breast revision surgery, breast implants, alloderm

Your implants seem large and difficult for your tissues to support. IO have used this materails many times and had a great of success, In your case it is difficult to say without a complete examination what the best alternatives would be.

Robert Whitfield, MD
Milwaukee Plastic Surgeon

Alloderm use in revision implant surgery

Use of Alloderm (freeze-dried and irradiated cadaveric dermis) in revision breast surgery is increasing. Massive weight loss patients tend to have more laxity to their breast connective tissue than non-weight loss patients. Alloderm use is very helpful for these procedures, as it provides support to the lower pole and provides a new layer of soft tissue over the implant. There are other products that work similarly, such as Strattice. The biggest problem with Alloderm is that it is... more

Kevin Brenner, MD
Los Angeles Plastic Surgeon

Commonly used "Human Dermis"

The use of cadaver skin ( more specifically "dermis") is commonly used in breast surgery. The technique gained popularity in breast reconstruction surgery specifically with tissue expanders. The technique used to salvage sagging implants involve the use of STRATTICE (human dermis) which acts a sling to give implants support in skin that lacks support. Additionally the implant should be downsized to reduce the stress on the skin and implanted STRATTICE.... more

Earl Stephenson Jr., MD, DDS
Atlanta Plastic Surgeon

Sling Procedure a Good Option

That certainly sounds like a good option for you. Patients with massive weight loss tend to "bottom out" more than the average patient does. The acellular dermis corrects this by recreating the imframammary fold and giving extra support. There are many types of this product including Flex HD, Alloderm, and Strattice. It also looks like you have taken a self portrait photo. Since you don't mention any asymmetry of the nipple heights I will assume... more

Steven Schuster, MD
Boca Raton Plastic Surgeon

www.schusterplasticsurgery.com

Breast lift revision can work.

Hi. 1) A sling of Alloderm to support the underside of your breasts may be a good idea. In addition, I would recommend: 2) Raising the fold under the left breast (this may be " stitching to the ribs"), 3) Raising the left nipple, and 4) Using smaller implants.

George J. Beraka, MD
Manhattan Plastic Surgeon

Dermal Support For Falling Implants

The use of biologic materials to help support the implants has incresed dramatically in the past 1-2 years. Accelular Dermal Matrix (ADM) consist of products that are made from human dermis ( Alloderm), porcine dermis (Strattice), or other materials ( Flex HD, etc.) All are designed for your body to incorporate the material over the course of three months, whil supporting implants that fall too much over time. They can be expensive, but are very effective at supporting... more

Christopher V. Pelletiere, MD
Barrington Plastic Surgeon

Acellurlar Dermal Sling

With your history of weight loss, thin skin and previous attempts at breast revision to raise the breast fold, the use of an Acellular Dermal Matrix such as Alloderm is a good suggestion. It is highly effective but has not been used as often because of the cost of the material. It is very commonly used in breast reconstruction as insurance pays for it. This is not the case in breast implant revision surgery.

Richard Linderman, MD
Indianapolis Plastic Surgeon

Bottoming out solutions

Your surgeon is correct. If you have bottoming out with very thin tissues, some surgeons are using Alloderm or any variant of the like to give extra support to the lower pole. It also can help with rippling.

Steven Wallach, MD
Manhattan Plastic Surgeon

Strattice or Alloderm internal bra for implant support

I have been using these materials for more than 10 years and they have been very helpful in preventing women from getting on the "assembly line" of multiple failed revisions. Just doing the same operation repeatedly is doomed to failure, especially since each time there is more scarring and thinning of the tissue support for the implants. That is where these materials come in; think of them as a living internal bra. Alloderm is made from human skin from a skin bank, with all... more

Richard Baxter, MD
Seattle Plastic Surgeon

Recurrent ptosis and the use of Acellular dermal matrix

This is a technique which has been popularized in part by the work of Dr. Scott Spear. There are studies to suggest that it becomes part of you . It can act like a support to reinforce the postion of the implant. Certainly, I would consider it as an option in a difficult case such as yours. see video

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Dropping breasts

Are the implants dropping or your whole breast. After that significant weight loss, a significant uplift is probably required to achieve what you are trying to do.

Edward J. Domanskis, MD
Orange County Plastic Surgeon

You need to get much smaller implants

Please ask your doctor to use much smaller implants. You have very thinned out skin that can not support a lot of weight. Your implants also setting too low and you will need a mastopexy revision with smaller implants. The revision has higher risk of nipple loss because of thinned out breast tissue.