There are a number of brands of acellular dermal matrix (ADM) available. They are utilized in both cosmetic and reconstructive arenas for varied reasons. In the realm of reconstructive breast surgery they are used to reinforce the lower pole following mastectomy and pectoralis muscle release forming the "demi" of the internal bra which supports the expander/implant. In the case of the pre-pectoral reconstructions, which have grown in popularity, they are used to encase the device and giving improved coverage.In cosmetic surgery, ADM are often used to reinforce the lower pole and augment support especially in cases of "bottoming out." However, the cost is somewhat prohibitive which has led many practitioners to transition to Strattice, a product of porcine origin, which represents a significant cost savingsThere are number of products available and the differences lie in the proprietary methods of preparation of donor tissue as well product varieties (shaped, thickness, perforated). Alloderm is the market leader with the greatest degree of literature support. There are a number of newer entrants into the market including Dermacell. As you have mentioned, one of the most attractive qualities is the cost savings represented by these newer products. This may make them an increasingly promising alternative, especially in the realm of aesthetics.Anecdotally, I have found very little difference from one product to another especially as the differences narrow (manufacturers tend to mimic and co-opt the innovations of their competitors). Ultimately, the best determinant of which ADM to use is the opinion/experience of your board certified plastic surgeon.
