Acellular dermal matrices: Use in reconstructive and aesthetic breast surgery

Acellular dermal matrices (ADMs) were first described for use in breast surgery in 2001. Since this initial report, ADMs have become an increasingly common component of implant-based breast procedures. ADMs have shown promise for use in both aesthetic and reconstructive breast surgery; however, conc...

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Bibliographic Details
Published in:Canadian journal of plastic surgery 2012, Vol.20 (2), p.75-89
Main Authors: Macadam, Sheina A, Lennox, Peter A
Format: Article
Language:English
Subjects:
Breasts
Clinical outcomes
Dermatology
Plastic surgery
Review
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Description
Summary:Acellular dermal matrices (ADMs) were first described for use in breast surgery in 2001. Since this initial report, ADMs have become an increasingly common component of implant-based breast procedures. ADMs have shown promise for use in both aesthetic and reconstructive breast surgery; however, concerns about their use remain because of the significant costs associated with these products. The present article reviews the history of ADM use in breast surgery and the outcomes reported to date. Common techniques for placement of ADMs in aesthetic revisionary and breast reconstruction surgery are provided, and use in the setting of chest wall irradiation and capsular contracture is discussed. Finally, the authors comment on the cost implications of these products in the Canadian and American health care systems.
ISSN:2292-5503
1195-2199
2292-5511
1918-1507
DOI:10.1177/229255031202000201