Breast reconstruction revision after a double mastectomy and initial reconstruction in 2014.

Question

I'm having a revision done on both breasts due to capsular contracture. My surgeon will be removing the alloderm that was initially put in to hold the implants. I'm a little concerned about not having alloderm. Should I worry?

Daniel Ruter, MD · Answer

Hi Hanna! Dr. Ruter from Syracuse Plastic Surgery in Syracuse NY. I do a good deal of breast reconstruction and my best guess is that this is a little bit of a lost in translation situation. When a patient has capsular contracture, that means that the capsule of scar tissue around the breast can be abnormal. Depending upon how contracted or thickened the capsule is, your surgeon may decide to cut out the capsule or cut into the capsule to release it. The alloderm should have incorporated into your body with your own cells growing into it. However, the alloderm forms part of the capsule. If your surgeon feels the capsule needs to be removed, the alloderm gets removed with it. Hopefully that makes some sense!

Breast reconstruction revision after a double mastectomy and initial reconstruction in 2014.

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