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

Question

Help! I'm 5 years post breast reconstruction, have capsular contraction, and have consulted with two surgeons who have different approaches; 1 uses Alloderm (which I currently have) while the other suggests using Galaflex as a possible option to reduce the chances of cc happening again. Is there any research that says which is better? Could one over the other make a difference? Also, is saline an option? Thought it was a no but another dr mentioned it? Help! Thank you!

Richard Baxter, MD · Answer

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.

Gerald Minniti, MD, FACS · Answer

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.

Daniel Barrett, MD · Answer

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

Derek Fletcher, MD - Account Suspended · Answer

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.

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

Answers (4)

More Capsular Contracture Treatment Questions

Have capsular contracture in right breast. Do both implants need to be replaced for symmetry?

Can capsular contracture cause silicone implants to deflate?

Would you say I'm developing capsular contracture? (Photo)

How long does it take for breasts to feel softer after capsulectomy + implant replacement to correct capsular contracture?

What are the chances of repeat Capsular Contracture with the use of Alloderm & Ultra Sound Therapy Post Op?

Can you have aspen treatment with strattice?

WE SEND PRETTY
EMAILS