Why is Alloderm bulging out of the side and causing me pain? (photo)

Typically ADMs of which AlloDerm is one are used mask folds in implants when somebody has thin skin.  It appears as if this is what's going on.  It could be that the AlloDerm that was used has not incorporated and therefore is floating in the pocket.  Heart could just be that even with the AlloDerm your still thin.  I will check with your surgeon and get examined to get some kind of determination next what's going on here.  Sorry that you're having problems but it does appear as if this is something that can be fixed.  Good luck,Dr. T

I am guessing that you had a revision.  The bulging area can be the alloderm or even the corner of your implant. Please follow up with your plastic surgeon.  best of Luck. 

The bulge could be the allograft but could also be a suture or the implant itself.  Having done a hundred if these slings, I can't say bulging has been an issue.

It seems like you must have had a revision breast surgery utilizing Alloderm which may have been to help with support or soft tissue weakness, or for rippling, or for capsular contracture. Although you may have to live with the bulging, the pain may be an infection problem.  You should see your plastic surgeon.  

I would guess that you has a revision with the placement of alloderm. You should make an appotinment to see your surgeon. If the alloderm did not get incorporated by your body it could be floating and not holding the implant in place. It looks like you might have had this placed to improve the medial border of the breast. It may have been anchored down medially and perhaps the sutures came loose and that has allowed the alloderm to be free on the edge and the implant to be more palpable. 

Briwoo231,I am sorry to hear you are having a problem, and as with any question or apparent problem after surgery, your first resource should be to speak with your surgeon.  Since Alloderm and other acellular dermal grafts are not generally used with uncomplicated breast revision surgeries, I will guess you have had a revision procedure to address either a support problem or a capsule contracture issue.  Generally the dermal graft is not going to become firm, or distorted after placement, and it will eventually be replaced by your own tissues in most cases. What your are showing in the photograph appears to be a fold point where your implant may be constricted in the implant pocket, causing the shell to fold.   This may be easier to feel with silicone implants, as they have thicker shells than saline but you did not mention implant type. I hope that this helps.Tom DeWire, MD  Richmond, VA