Acellular dermal matrix (ADM) is a biologic implant that carries the ability to become integrated into native tissue. It is made by taking a full thickness section of skin from a donor source (his human, porcine, or bovine in origin). It essentially becomes "part of the patient" and may be difficult to remove longer-term once it is fully integrated.Stratus and other types of acellular dermal matrix has a long safety record and can be very useful for variety of situations, during revisionary breast surgery.ADM can be helpful in improving contour for significant irregularities after breast surgery. For example, top ability/rippling a breast implants maybe covered or camouflaged with the use ofADM. in addition significant income opposition can be corrected with ADM providing additional support for the implant. This can be especially helpful for patients with a paucity of skin elasticity or soft tissue coverage. This material may also be very helpful it is to correction of breast implant bow positions, which is a commonly encountered problem after breast augmentation or reduction. For example, it may be used to reinforce and support capsulorraphy to treat symmastia (medial malposition of breast implants), bottoming out (inferior malposition of breast implants), or lateral displacement (implants falling sideways especially when patient lies down) of breast implants. I hope this helps.