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Non-expansive Reconstruction with AlloDerm
or DermaMatrix
(Implant reconstruction is described in Chapter 9)
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If you're considering implant reconstruction, you may want to look
into a new procedure. Some doctors are now using an acellular dermal matrix, like AlloDerm® or DermaMatrix®--donated
human tissue from which the cells have been removed--to provide better breast shape and, in some cases, a shorter overall
reconstructive timeline.
Typically, the chest muscle and breast skin must be expanded over a period of several weeks to create a pocket of sufficient
size to hold the implant. Alternatively, stitching patches of AlloDerm or DermaMatrix to the sides of the muscle or along
the inframammary fold creates an instant pocket and more complete coverage of the exposed implant edges.
Non-expansive reconstruction with an accelular dermal matrix offers three distinct benefits over traditional implant reconstruction:
- Single-step implant procedure doesn't require expansion.
- Women who combine this procedure with prophylactic subcutaneous mastectomy
or nipple-sparing mastectomy can complete
their entire reconstruction in a single step.
- Acellular dermal matrix integrates into a woman's healthy tissue.
Although breast reconstruction with AlloDerm or DermaMatrix is not yet widely performed, acellular dermis has been used for
years in other types of reconstructive surgeries (it's commonly used to repair abdominal wall tears that can occur after TRAM
reconstruction), and to replace missing or damaged skin and cover wounds.
Like other methods of reconstruction, it makes good sense to research a one-step reconstruction procedure before making a
decision. Understand the benefits and limitations of this type of reconstruction before deciding if it's right for you. When
consulting with a surgeon who reconstructs with AlloDerm or DermaMatrix, be sure to clarify whether he performs a single-step
non-expansive procedure or traditional reconstruction with expansion.
Surgeons who Perform One-Step Implant Reconstruction
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Los Angeles
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Dr. Mark Mofid
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Dr. Michael Newman
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New Jersey
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Houston, St. Luke's
Houston, The Woodlands
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Additional Information
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© 2003-2008 Carlo Press Publications
PO Box 7019
San Carlos, CA 94070
retail: 800-431-1579
wholesale: 650-592-2877
fax: 650-592-3790
info@breastrecon.com
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