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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
Hello! Thank you for the question. Both are human acellular dermal matrices. They are made from different manufacturers, both with excellent published results. BellaDerm has been released for use in aesthetic surgery with informed consent from the donor for this purpose for...
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 mat...
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...