Thank you for the question. The use of acellular dermal matrix or biosynthetic mesh may be very helpful when it comes to providing additional support for breast implants and/or breast tissue. I find this material very helpful in cases where patients have recurrent implant displacement concerns and/or significant loss of skin/tissue strength.Acellular dermal matrix 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). These materials may be helpful as a supportive matrix, help with the breast implant displacement/malposition, provide additional support where a capsule repair (capsulorraphy) is carried out ( such as cases involving bottoming out, lateral displacement, symmastia) etc. I have also found the material to be very helpful when it comes to treating severe breast implant rippling/palpability concerns. Furthermore, the acellular dermal matrix is very helpful when it comes to treating challenging/recurrent cases of breast implant encapsulation. You may find the attached link, dedicated to specifically to the use of acellular dermal matrix for breast surgery, helpful to you as you learn more. I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done. Then, once you feel comfortable that your plastic surgeon has extensive experience helping patients achieve the types of outcomes you would be pleased with in a safe fashion, it will be important for you to communicate your goals carefully. Be very careful with your decision-making. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery. Best wishes.
You should go on several consultations with different physicians and see their before and after photos of patients like you. No surgeon knows what another surgeon's practice is completely. That being said, there are authors and speakers who are known in the surgeon community for these procedures. You can ask your surgeon for a referral to such an expert in your area. One such provider in southern California is Steven Teitelbaum, M.D. He presents on such topics as difficult breast revision cases. Though I do not personally know him to recommend him, I've heard colleagues speak highly of his surgical outcomes. See a number of surgeons and pick the one you are most comfortable with! Hope this helps,best regards,-Erik Hoy, M.D.
