I currently have tissue expanders. My surgeon will use alloderm to make a hammock during implant exchange. What are advantages & disadvantages of using Alloderm at this final stage? What effect will it have on my pectoral muscles? Will I see or feel a ridge along suture line once stitches have dissolved? Thank you
Answer: Advantages & Disadvantages to Alloderm Put in During Implant Exchange? Generally, Alloderm is used during the first stage of a two stage breast reconstruction. The use of it in the second stage to make a sling is useful if the lower mastectomy flaps are very thin and there is concern about rippling. The suture line in either use of alloderm will dissolve but depending on the suture it can take time. The major downside of putting alloderm at the second stage would be an increased risk of seroma. This can lead to infection and other problems. Many surgeons recommend the use of drains with the placement of alloderm. I usually don't use drains for the implant exchange but would be more likely to do so if I was going to place alloderm. The question to ask your surgeon is why the think you need an alloderm sling and how if would improve your results. I am sure they have a good indication and should be able to explain the rationale to you in the office. Good luck.
Helpful
Answer: Advantages & Disadvantages to Alloderm Put in During Implant Exchange? Generally, Alloderm is used during the first stage of a two stage breast reconstruction. The use of it in the second stage to make a sling is useful if the lower mastectomy flaps are very thin and there is concern about rippling. The suture line in either use of alloderm will dissolve but depending on the suture it can take time. The major downside of putting alloderm at the second stage would be an increased risk of seroma. This can lead to infection and other problems. Many surgeons recommend the use of drains with the placement of alloderm. I usually don't use drains for the implant exchange but would be more likely to do so if I was going to place alloderm. The question to ask your surgeon is why the think you need an alloderm sling and how if would improve your results. I am sure they have a good indication and should be able to explain the rationale to you in the office. Good luck.
Helpful
September 18, 2013
Answer: Alloderm during tissue expander to implant exchange
Most surgeons will use the alloderm during the first stage when the tissue expanders are placed to help add shape to the lower pole of the breast. It also results in less pain and easy expansion.
A new technique that some surgeons are now trying is to place a small sheet of strattice or alloderm during the tissue expander to implant exchange along the upper pole of the breast to reduce the risk of capsular contracture. I do not feel the benefits outweigh the risks on this. I have not seen issue s with ridging of the suture line with alloderm and find it has little effect on the pectoralis muscles.
I wish you a safe recovery and fantastic result.
Dr. Gill
Helpful
September 18, 2013
Answer: Alloderm during tissue expander to implant exchange
Most surgeons will use the alloderm during the first stage when the tissue expanders are placed to help add shape to the lower pole of the breast. It also results in less pain and easy expansion.
A new technique that some surgeons are now trying is to place a small sheet of strattice or alloderm during the tissue expander to implant exchange along the upper pole of the breast to reduce the risk of capsular contracture. I do not feel the benefits outweigh the risks on this. I have not seen issue s with ridging of the suture line with alloderm and find it has little effect on the pectoralis muscles.
I wish you a safe recovery and fantastic result.
Dr. Gill
Helpful