What's New in Acellular Dermal Matrix and Soft-Tissue Support for Prosthetic Breast Reconstruction.

Abstract:

:Of the nearly 90,000 implant-based breast reconstructions performed in the United States, the majority use internal soft-tissue support. Aesthetically, these constructs may allow for better positioning of prosthesis, improve lower pole expansion, and increase projection. They may have particular utility in direct-to-implant, nipple-sparing mastectomies, and prepectoral reconstructions. In recent years, new permutations of acellular dermal matrices have evolved with diverse shapes, sizes, form-factor innovations, and processing characteristics. The literature is largely limited to retrospective studies (and meta-analyses thereof), making robust comparisons of 1 iteration vis-à-vis another difficult. Although synthetic mesh may provide a cost-effective alternative in primary and secondary reconstruction, comparative studies with acellular dermal matrix are lacking. This review aims to provide a balanced overview of recent biologic and synthetic mesh innovation. As this technology (and concomitant techniques) evolve, the reconstructive surgeon is afforded more-and better-choices to improve care for patients.

journal_name

Plast Reconstr Surg

authors

Kim JYS,Mlodinow AS

doi

10.1097/PRS.0000000000003950

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

30S-43S

issue

5S Advances in Breast Reconstruction

eissn

0032-1052

issn

1529-4242

pii

00006534-201711001-00007

journal_volume

140

pub_type

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