What complications do you see most often from using Alloderm for breast reconstruction?
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Doctor Answers 7
Alloderm in the breast
I have been using Alloderm in the breast for both reconstruction and secondary breast augmentation corrections for 15 years, It is a very useful dermal matrix product. I use it primarily in my breast reconstructions as it is quite expensive ,but usually the costs are covered by insurance companies. Alloderm becomes incorporated into your own tissues if it is placed into a proper environment. If the mastectomy flaps are created with great care and there is adequate good supply, the alloderm will become nicely incorporated into your own body. I have had very few infections or complications with alloderm and I use it almost weekly in my practice.
Alloderm complications and removal
Alloderm on the face
I tried Alloderm years ago in the lips when it was first introduced. It is absorbed and disappears too soon. It can also create a feeling of tightness in the lips. To overcome the problems the company ground it up and called it Cymetra. That was injectable Alloderm. Ever heard of it? No, because it does not work either. I like to use cumulative fat placement to create a natural lip.
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Alloderm can get infected or seroma can form
AlloDerm is essentially cadaver skin minus any living cells. It is used as a scaffold through which a persons living cells can grow into. It has many uses, but, in use his in breast reconstruction. AlloDerm does not help in mastectomy recovery. It does however help in breast reconstruction. In this application, AlloDerm was used to cover the lower portion of an implant that spans from the lower border of the pectoralis muscle to the breast fold. Because AlloDerm is a foreign substance in can always get infected and as such your doctor and you need to pay close attention to the signs and symptoms. AlloDerm has also been used in nipple augmentation as well as augmentation of other body parts. Its efficacy is really not known in these realms because it is not common. Some providers may use AlloDerm for these applications but please note that its most widespread use is particularly in breast reconstruction as well as repair for abdominal wall hernias. Please speak with a board certified plastic surgeon if you have any specific concerns regarding your care.
The most common complications seen with Alloderm or any acellular dermal matrix is ,seroma , redness infection and,disruption due to poor vascular ingrowth.
These complications are increased in patients who are overweight, diabetic, smokers had radiation,and with larger and thicker sheets of acellular dermal matrix
Although complications are relatively low, these factors should be considered
Alloderm has a low complication rate
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.