Alloderm vs Galaflex, which is the best option to prevent capsular contraction from happening?

More details about the kind of implant-based breast reconstruction are necessary to give accurate advice. AlloDerm has strong evidence in the peer reviewed literature supporting its efficacy for management of cap con. Galaflex does not.

There aren't any head-to-head studies comparing ADM (Alloderm or Strattice) vs Galaflex mesh in terms of capsular contracture, but there is a good amount of data supporting the use of ADM. Galaflex is a very useful option for a lot of situations but for recurrent cap con I would go with the ADM, probably Strattice.

There is no data suggesting that resorbable mesh has any effect on preventing recurrent capsular contracture. Alternatively, there is plenty of data showing the efficacy of acellular dermal matrix, or ADM (e.g. Alloderm or Strattice) in this regard.

Dear moogie51,
capsular contracture happens. In fact, every implant has a capsule form around it, its just a certain percentage develop thick capsules. There is a lot we don't know about it actually. Some think that bacteria that gets on the implant during insertion can increase the risk. Thats why we use a Keller Funnel in our practice to reduce that possibility. Our capsular contracture rate is less than 2% because we use a keller funnel as well as meticulous operating room techniques.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery