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The Use of Acellular Dermal Matrices in Implant-Based Breast Reconstruction

  • Glyn Jones
Chapter
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Abstract

Implant-based techniques are the most widely used approaches to breast reconstruction of the world today. In the United States alone, they account for six times the number of reconstructions compared with all autologous reconstructive techniques combined. Two-stage expander-implant reconstruction is one of the most widely used forms of breast reconstruction, although single-stage direct-to-implant reconstruction is becoming increasingly popular. Despite the popularity of implant-based techniques, they have been fraught with the problems of capsular contracture, rippling of implants beneath the overlying thin skin envelope, and pseudoptosis of the device as the lower pole skin attenuates with time. Numerous solutions to these issues have been tried often with little success. During the past 14 years, acellular dermal matrices have been increasingly incorporated into implant-based reconstructions and appear to offer a degree of resolution to many of these troublesome issues.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Glyn Jones
    • 1
  1. 1.Department of Plastic SurgeryProctor HospitalPeoriaUSA

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