Implant breast reconstruction using acellular dermal matrix

Gloria M Gamboa

Research output: Contribution to journalArticle

153 Citations (Scopus)

Abstract

Thirteen breast reconstructions in 11 patients, averaging 58 years of age, underwent mastectomies. The technique uses a saline implant either totally or partially covered with a human acellular dermal matrix. The mean postoperative follow-up time was 14 months. Ninety percent of the patients were considered high risk; the thickness of the human acellular dermal matrix was an average of 1.3 mm, with an average area per breast of 121 cm2. There were 12 successful breast reconstructions (92%) that provided stability, increased soft tissue padding, which allowed a greater resemblance to normal breast shape and decreased rippling and implant visibility. The graft was used in an onlay fashion or as an extension of the pectoralis major muscle that covers the implant. A representative histologic cross-section of well-integrated human acellular dermal matrix is presented. The use of a human acellular dermal matrix in breast reconstruction is an alternative protocol in high-risk patients, resulting in a minimal increase in operative time and a decrease in morbidity compared with more extensive procedures.

Original languageEnglish (US)
Pages (from-to)22-25
Number of pages4
JournalAnnals of Plastic Surgery
Volume56
Issue number1
DOIs
StatePublished - Jan 1 2006

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Acellular Dermis
Mammaplasty
Breast
Pectoralis Muscles
Inlays
Mastectomy
Operative Time
Morbidity
Transplants

Keywords

  • Acellular dermal matrix
  • Breast reconstruction
  • Implant

ASJC Scopus subject areas

  • Surgery

Cite this

Implant breast reconstruction using acellular dermal matrix. / Gamboa, Gloria M.

In: Annals of Plastic Surgery, Vol. 56, No. 1, 01.01.2006, p. 22-25.

Research output: Contribution to journalArticle

Gamboa, Gloria M. / Implant breast reconstruction using acellular dermal matrix. In: Annals of Plastic Surgery. 2006 ; Vol. 56, No. 1. pp. 22-25.
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