Breast Augmentation and Liposuction Blog - Dr. Bottger

In recent years, there has been a significant increase in the use of acellular dermal matrix (ADM) in breast implant-based breast reconstruction. The increased popularity of this material is due to a number of perceived advantages. However, according to a recent review of the scientific literature, there is little objective evidence to support these claims.

ADM is material prepared from the skin of various animals. The dermal cells are removed, leaving only a framework of collagen material that can then serve as a scaffolding in many types of reconstructive procedures, providing structural support and a framework for cells to grow on. One common source of ADM is cadavers, but fetal cows and pigs are also used as donors for ADM.

In breast implant-based breast reconstruction, ADM is supposed to give numerous benefits. It is supposed to provide support for the implant or expander in the early phases of recovery, before the body's tissues are recovered. This allows, according to claims, for better aesthetic outcomes, fewer expansions, and larger breast implants during breast reconstruction.

In a recent review of all studies done on the use of ADM in breast reconstruction, researchers found no support for most of the claims made about the use of ADM, including reducing or eliminating the need for expanders, the use of larger initial fill volumes, faster time to completion, decreased rate of revision, and improved aesthetic outcome. However, the researchers did find evidence for decreased rate of capsular contracture, which is significant for breast reconstruction, which generally faced an even higher rate of the condition than breast augmentation patients.

Board-certified plastic surgeon Dr. David A. Bottger does not perform breast reconstruction, but he does utilize breast implants for breast augmentation, and continues to evaluate the use of advanced techniques to improve outcomes. To talk to Dr. Bottger about breast augmentation, please schedule a consultation today.

Labels: breast augmentation, capsular contracture, complication