Soft Tissue Adjuncts in Revisionary Aesthetic Breast Surgery

Area of Science:

• Plastic Surgery
• Regenerative Medicine

Background:

• Reconstructive breast surgery is complex and evolving.
• Acellular dermal matrices (ADMs) are innovative soft tissue adjuncts improving breast reconstruction.
• ADMs are well-documented for primary and secondary reconstruction post-mastectomy.

Purpose of the Study:

• To review the existing literature on ADM utilization in revisional surgery following aesthetic breast procedures.
• To assess the safety and efficacy of ADMs in secondary breast augmentation or revision.

Main Methods:

• A systematic PubMed literature search was conducted for studies on ADMs in secondary breast surgery.
• Inclusion criteria were applied to filter relevant case series from initial search results.

Main Results:

• Five case series met the inclusion criteria.
• The overall infection rate associated with ADM use was 2%.
• Implant malposition occurred in 0.8% of cases using ADMs.

Conclusions:

• Literature on ADMs for revisional aesthetic breast surgery is limited but growing.
• Current evidence indicates ADMs are a safe and effective option in this setting.
• ADMs demonstrate a reasonable complication profile for revision after aesthetic breast surgery.