Intracapsular allogenic dermal grafts for breast implant-related problems

Plast Reconstr Surg. 2003 Nov;112(6):1692-6; discussion 1697-8. doi: 10.1097/01.PRS.0000086365.25453.C3.

Abstract

Despite advances in surgical techniques and breast implant design, certain problems unique to breast implant surgery remain. The historically most onerous problem, capsular contracture, is relatively uncommon now. However, problems related to thin capsules and periprosthetic atrophy are becoming more common; these problems include rippling, symmastia, implant malposition, and bottoming out. Options for treatment of these conditions remain extremely limited, particularly with saline implants. Allogenic dermal grafting provides one satisfactory option. Techniques for use of allogenic dermal grafts and early results from 10 patients are summarized in this article, along with histologic analysis confirming viability of the grafts at 6-month follow-up in one patient. No graft-related complications were identified.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Atrophy
  • Biocompatible Materials / administration & dosage*
  • Breast / pathology
  • Breast Implants / adverse effects*
  • Collagen / administration & dosage*
  • Female
  • Humans
  • Mammaplasty / instrumentation
  • Mammaplasty / methods*
  • Middle Aged
  • Reoperation

Substances

  • Alloderm
  • Biocompatible Materials
  • Collagen