Abstract
Introduction
The most frequently occurring long-term complication in implant-based breast reconstruction is fibrotic capsule formation at the recipient site, with concurrent dysesthesia and poor aesthetic results. Using porcine acellular dermal matrix (PADM) as a connective tissue graft material is supposed to improve the quality and quantity of soft tissue in implant-based breast reconstruction. This study investigates the indications for and the results and the costs of using PADM for the correction or prevention of implant-associated breast deformities.
Materials and methods
This study reviewed a single surgeon’s experience in the correction or prevention of implant-associated breast deformities with PADM in breast cancer-related breast reconstruction from 2009 to 2011. A total of 23 patients (27 breasts) were included in the study. The aesthetic outcome, the incidence and the type of complication were analysed. Twenty-three women underwent breast cancer-related breast reconstruction: 19 women underwent single-breast reconstruction and four women underwent bilateral reconstruction.
Results
Of the 23 patients who underwent breast reconstruction, 18 (78%) were “satisfied” with the aesthetic and haptic outcome after implant-based reconstruction with PADM. One patient (one breast) required another breast operation because of ipsilateral breast cancer recurrence during the follow-up period. PADM-assisted implant-based breast reconstruction has a satisfactory safety profile.
Conclusion
The use of PADM as an interface matrix for implant-based breast reconstruction yielded predictable and acceptable aesthetic and haptic results by preventing capsular contracture, rippling, implant malposition, soft-tissue thinning and failure of the silicone implant-based breast augmentation.
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Conflict of interest
Neither the authors nor their immediate family members have indicated a financial interest or a personal relationship with persons or with the manufacturer organisations that could inappropriately influence their work. No conflict exists for devices used in the reported investigation.
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Himsl, I., Drinovac, V., Lenhard, M. et al. The use of porcine acellular dermal matrix in silicone implant-based breast reconstruction. Arch Gynecol Obstet 286, 187–192 (2012). https://doi.org/10.1007/s00404-012-2266-x
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DOI: https://doi.org/10.1007/s00404-012-2266-x