Breast Prosthetic Reconstruction: Tips and Tricks on ADM Position

  • A. Vela-LasagabasterEmail author
  • P. Benito-Duque
  • J. Ordoñez-Maygua
Letter to the Editor


In the late years, the use of acellular dermal matrix (ADM) has extended rapidly in the field of breast reconstruction. However, with the follow-up visits, we discovered some deformities on the lateral part of the lower pole, due to the folding of the ADM. The aim of this letter is to share some tricks developed in our clinical practice that would permit the surgeon to avoid getting these irregularities in the aesthetic result of breast reconstruction with ADM.

Level of Evidence V

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Breast reconstruction Acellular dermal matrix 


Compliance with Ethical Standards

Conflict of interest

The authors declare no conflict of interest or financial support.

Human and Animals Rights Statement

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

The figures shown in the article have the free and aware informed consent of the patient to appear in the article. For this type of study, no further informed consent is required.


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    Rivareix F, Sarfati B, Leymarie N, Alkhashnam H et al (2018) Mastectomy and immediate reconstruction: indications, techniques and decision algorithm. Ann Chir Plast Esthet. Google Scholar
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    Lee KT, Eom Y, Mun GH, Bang SI, Jeon BJ, Pyon JK (2018) Efficacy of partial-versus full-sling acellular dermal matrix use in implant-based breast reconstruction: a head-to-head comparison. Aesth Plast Surg 42:422–433CrossRefGoogle Scholar
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    Breuing KH, Warren SM (2005) Immediate bilateral breast reconstruction with implants and inferolateral AlloDerm slings. Ann Plast Surg 55:232–239CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  • A. Vela-Lasagabaster
    • 1
    Email author
  • P. Benito-Duque
    • 1
  • J. Ordoñez-Maygua
    • 1
  1. 1.Plastic Surgery ServiceUniversity Hospital Ramón y CajalMadridSpain

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