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Alloderm is a matrix that becomes living structural tissue. I recently published a 12-year follow-up on a revision breast reconstruction case, and the Alloderm had not diminished. However, not all acellular dermal matrix products are created in a way that supports this transformation.
Acellular dermal matrix does not “totally absorb or disappear”; instead it integrates ( becomes part of) the patient's surrounding tissues. For example, when we are operating on patients who have had acellular dermal matrix used in the past, it is commonplace to see the previously used matrix integrated and still present. Hope this, and the attached link, helps.
AlloDerm does not disappear. It is a regenerative tissue matrix where your own natural blood vessels and tissue integrates into the AlloDerm matrix. Hope this helps.
Alloderm is an a-cellular dermis that should incorporate into a patient's own tissue. During re-operations, I have visualized Alloderm fully incorporated but have also seen the situation where the Alloderm does not fully integrate. It may be adherent in certain places but not in others which is not concerning and does not usually cause a problem - simply an incidental finding in the OR. I have actually never seen the Alloderm "disappear or disintegrate". If in an infected area, the Alloderm can thin and loose its integrity but typically doesn't completely go away. Hope this helps.
This expander can be filled from 500 cc up to 800 cc. I would base the fill volume on your desired breast shape primarily. Once you feel happy with your breast size in clothing, I would recommend a 10% over expansion, followed by a 1 month wait period to allow the skin to...
Alloderm is an acellular dermal matrix that is tranformed into living tissue over time to form a sort of internal bra. This helps to support implants and allow for a better shape to the breast. There is evidence that it also helps to prevent capsular contracture, which is more common in...
Thank you for your question.One technique that hasn't been mentioned in these posts is the use of the Cook Medical Biodesign Nipple Reconstruction Cylinder. To see if this might work for you, see two or more board certified and experienced plastic surgeons in your area for a full and...
Short answer -- $41,580 is probably the amount the hospital bills insurance for a 16x20cm piece of dermal matrix, but your insurance pays them substantially less than that. You should not be billed for it, but rather your insurance. Long answer -- The hospital pays about $10,000 for...
Thre are a number of things to consider when breast implants show rippling, including the very important question of whether the implants are of the appropriate diameter. In general, ripples will show where the tissues have thinned out. Strattice is my go-to option for that since it has better...
I believe that hyaluronic acid facial fillers such as Juvederm or Restylane give the best results, but are not permanent. Other options to ask about include fat grafting and using your own skin. If a patient has a previous scar, I will excise the scar and remove the epithelial...
