Mastectomy Reconstruction over Muscle, Happy W/breast Skin Lined W/Alloderm for Support, but Would Like Repair Suggestions?

I use alloderm specifically in cases where I am placing a tissue expander. The alloderm becomes incorporated into the surrounding soft tissue with some time. As for activity, it really depends where you are in the reconstruction.

You were correct in choosing to place your implants above the muscle with you fitness lifestyle.It is however more difficult to fixate the implant in the pocket above the muscle. You are also correct with your concerns with suture fixation not being sufficient. In cases such as yours I use synthetic mesh ,either permanent or absorbable to help fixate the tissues. I have found that mesh hold the tisues in place more effectively then sutures or alloderm more

Hello Tara Migration of the implant is a problem that is seen in both reconstruction and breast augmentation. There are many methods to repair the pocket. Suturing the pocket with capsule flap, using alloderm, and local flaps for lateral displacement are methods that can be used. Suturing is a mothod that frequently fails and the displacement recures. Capsulectomy and use of sutures and alloderm can be more successful, Local flaps is big surgery but may asure better... more