J Korean Soc Plast Reconstr Surg.  2009 Nov;36(6):755-760.

Implant Breast Reconstruction using AlloDerm Sling; Clinical Outcomes and Effect to Capsular Formation

Affiliations
  • 1Institute for Human Tissue Restoration, Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, Korea. rohts@yuhs.ac

Abstract

PURPOSE
Breast surgeons usually insert tissue expander or implant beneath the subpectoral-subcutaneous dual plane in breast reconstruction. But sometimes it happens unsatisfactory lower pole fullness, asymmetric inframammary fold and breast shape. To solve all the problem like these, we introduce implant breast reconstruction using AlloDerm sling.
METHODS
The AlloDerm sling was used in 13 patients and 18 breasts for implant breast reconstruction. After mastectomy, costal and lower sternal insertion of pectoralis major muscle was detached. Rehydrated AlloDerm was sutured to the chest wall and serratus anterior fascia at the level of inframammary fold downward and to lower border of the pectoralis major muscle upward like crescent shape with tension free technique after implant insertion into the subpectoral-subAlloDerm dual pocket. And we evaluate subpectoral capsule and subAlloDerm capsule histologically for the capsular thickness, amount of myofibroblast and TGF-beta expression.
RESULTS
We make satisfactory lower pole fullness, symmetric inframammary fold and breast shape using AlloDerm sling. SubAlloDerm capsule was thin than subpectoral capsule. SubAlloDerm capsule have fewer myofibroblast and lower TGF-beta expression than subpectoral capsule.
CONCLUSION
Implant breast reconstruction using AlloDerm sling makes easy to get natural breast shape through satisfactory lower pole fullness, symmetric inframammary fold and implant positioning.

Keyword

Breast reconstruction; Breast implant; AlloDerm; Capsule; Dual plane

MeSH Terms

Breast
Breast Implants
Collagen
Fascia
Female
Humans
Mammaplasty
Mastectomy
Muscles
Myofibroblasts
Thoracic Wall
Tissue Expansion Devices
Transforming Growth Factor beta
Collagen
Transforming Growth Factor beta
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