AlloDerm Vs Strattice in Terms of Rejection Rate?

Avoid Stratice!  Your own body has a much better structure: Fascia intelligent use of the subfascial plane is the answer

The problems that lead to suggested use of Stratice and dermal fillers are way too common.  The reality of breast augmentation is that most women have similar results and are simply not aware that there is a better option.  The most commonly used technique is the  "dual-plane" subpectoral placement.  this sets up the implants for lateral and inferior malposition.  The top of the breast has muscular coverage and because of the pectoralis major's origination next to the sternum, the implants are pushed away from midline creating the valley between them that you dislike ( I call this the Miami Valley based on the common augmented look of breast augmentations in Miami).  Because the inferior portion of the breast is subglandular,  there is no support and the implant tend to migrate toward the armpits then down.

For these reasons I do not perform submuscular or dual-plane breast augmentations.  I use a technique that I call "Cold-Subfascial Breast Augmentation" that overcomes the shortcomings of dual plane.  By leaving the muscle alone and precisely lifting the strong pectoralis fascia,  I am able to custom design what is essentially a living natural brassiere to support the implant within the breast.  Using this technique I am able to create beautiful natural appearing breasts that complement the individual patient's body.

I commonly revise patients in your position by converting them to the cold-subfascial plane.  In my experience this is the only way to repair the breast and create a long-lived beautiful result.  Artificial materials such as stratice are just asking for trouble in my opinion.  I hope this helps!

All the best,

Rian A. Maercks M.D.

“Rejection” of Alloderm or Strattice is generally not a problem as the immunologic components of the product are removed during processing. The more common problem is exposure of the product or infection. There have been reports of slightly more infections when Alloderm was used for breast reconstruction compared to when it was not used but other studies did not find a difference. One study found a significantly higher rate of needing to remove the expander due to infection or exposure when Alloderm was used. Since Strattice is newer, there are fewer studies available to compare to Alloderm. I am unaware of a study that compares Alloderm and Strattice head-to-head. If you are concerned about this, it would be reasonable to discuss with your surgeon before your procedure.