Cosmetic Surgery Tips

Acellular Dermal Matrix Breast Augmentation

The Acellular Dermal Matrix is a skin replacement that is both natural looking and responsive to the body’s needs. The resulting breast tissue will be both firm and resilient, creating an enhanced look for any woman who chooses to undergo this procedure.

Breast augmentation surgery is one of the most popular plastic surgeries in the United States, but many women are wary of the risks involved with going under the knife. One alternative that has been gaining popularity over recent years is to use an acellular dermal matrix (ADM) breast augmentation, which involves using all-natural tissue instead of synthetic implants, reducing recovery time and potential complications. The most common type of ADM used for breast augmentation is cadaveric allograft, which is made from donated human tissue that has been prepared to be used as a medical device and sanitized to decrease or eliminate any risk of disease transmission.

The first step in getting an ADM breast augmentation is to schedule a consultation with your surgeon. During this consultation, you will discuss your goals for your breast augmentation procedure and have the opportunity to ask questions about your options and recovery time. You may also have an exam performed during this consultation in order to determine if you are a candidate for ADM breast augmentation surgery.

Overview of Acellular dermal matrices (ADMs)

Acellular dermal matrices (ADMs) are human-, bovine-, or porcine-derived biotechnologically engineered tissues that have served a myriad of purposes across surgical subspecialties. Tissue processing removes the cellular antigens capable of producing an immunologic response while maintaining the structural matrix that encourages angiogenesis and tissue regeneration. The initial reported clinical use of ADMs was in the management of full-thickness burns in 1995, and they subsequently have had a number of applications within plastic and reconstructive surgery, including in abdominal hernia repair, rhinoplasty, facial soft tissue augmentation, lip augmentation (6), and oculofacial procedures .

After the first usage in the breast by the senior author in 2001, ADMs have become a cornerstone of implant-based immediate breast reconstruction over the last 2 decades. Immediate breast reconstruction became preferred to delayed reconstruction in the 1990’s due to its improved psychosocial morbidity, decreased cost, and optimal cosmetic outcomes facilitated by the advent of skin-sparing mastectomies. Prior to the use of ADMs, effective immediate prosthesis-based breast reconstruction necessitated the use of a submuscular expander with full muscle coverage to improve soft tissue coverage prior to a permanent implant placement or removal of the filling port attached to a combination device . The disadvantages of this approach include infectious complications requiring multiple operations and patient discomfort.

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