J Korean Soc Plast Reconstr Surg.  2009 Mar;36(2):161-166.

Immediate Breast Reconstruction Using Saline Implant: Extension of Pectoralis Major Muscle Coverage with AlloDerm(R)

• Hwang CH
• Kim EK
• Eom JS
• Ahn SH
• Son BH
• Kim TG
• Lee TJ

Abstract

PURPOSE: Using the implant for the breast reconstruction still remains the options, despite the breast reconstruction using autologous tissue is an ideal method. In this study, we used AlloDerm(R) to extend subpectoral pocket for covering implants to reduce implant related complications.
METHODS
From January 2005 to June 2007, 18 breasts in 16 patients were reconstructed using implant and AlloDerm(R) immediately after mastectomy. Hospital records, database files, and clinical photographs were reviewed. A ten-point scale was used to evaluate the patient's satisfaction, with a range from 2(poor) to 10 (excellent).
RESULTS
Mean age of the patients was 38.7 years at the time of operation. Mean weight of removed breast tissue was 287g. AlloDerm(R) was used to extend subpectoral coverage. Any systemic complication was not reported. Breast complication was developed in 4 cases. Implant removal or change was not experienced.
CONCLUSION
Immediate breast reconstruction using Implant is useful methods for certain conditions, when donor tissue is insufficient and breast is non ptotic with round shape. In those cases, extension of muscle coverage using AlloDerm(R) could reduce complications and lead more acceptable results.

Keyword

Implant; AlloDerm; Breast reconstruction

MeSH Terms

Breast
Collagen
Female
Hospital Records
Humans
Mammaplasty
Mastectomy
Muscles
Tissue Donors
Collagen