How Do You Know when ADM Has Incorporated into the Body After Breast Revision Surgery?

I had a third revision surgery nearly 3 weeks ago. My doctor lined my lower breast with ADM. I am feeling a bit of bumpiness on that part of my breast. Is that the implant or the stitches or the ADM incorporating into my body? I have Mentor silicone HP 425 cc implants. I am 5'4", 115 lbs and breast fed for four years total. Could it be slight rippling?

Doctor Answers 4


Alloderm is a cadavaric skin preparation that is used to help with adding support and coverage of implant reconstructions. It incorporates pretty quickly but can be palpable for a long time.

New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Incorporation of ADM with breast implant surgery

Revascularization and incorporation of the ADM are two separate processes with the intial beginning within 4 days and the latter process taking several months. This process may take longer than ADM placed within a wound which has two sided contact with the ADM. The implant completely prevents incoporation from the side intimately in contact wtih the ADM

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Acellular dermal matrix in breast revision surgery

Acellular dermal matrix is sometimes used to help create an internal sling for the breast implant, or provide additional lining where the tissues are attenuated. It usually persists for longer than 3 weeks, and depending on the thickness and how it is used in the breast, may be palpable. You should ask your surgeon to examine you in order to determine what is palpable in your breast.

Olivia Hutchinson, MD
New York Plastic Surgeon
5.0 out of 5 stars 8 reviews

ADM Incorporation

First of all, not all Acellular Dermal Matrices are created equal and you did not identify the product name.  Still longer than 3 weeks is required for revascularization of the ADM typically.

John Whitt, MD (retired)
Louisville Plastic Surgeon
5.0 out of 5 stars 2 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.