Acellular dermal matrix in breast augmentation surgery: A systematic review.

Area of Science:

• Plastic Surgery
• Biomaterials in Surgery

Background:

• Acellular dermal matrix (ADM) use originated in breast reconstruction and has expanded to cosmetic breast augmentation.
• ADMs are increasingly utilized in both primary and revision cosmetic breast surgeries.
• These matrices offer support for breast augmentation techniques, aiding in complication management and prevention.

Purpose of the Study:

• To evaluate the efficacy and safety of acellular dermal matrices in cosmetic breast surgery.
• To determine appropriate indications for ADM use in cosmetic breast augmentation procedures.

Main Methods:

• A comprehensive literature review was performed up to April 2023.
• Databases searched included PubMed and MEDLINE using keywords "Breast augmentation" and "Acellular Dermal Matrix."
• Twelve English-language articles involving 787 patients were included in the final analysis.

Main Results:

• Capsular contracture was the primary indication for ADM use in breast augmentation, accounting for 60% of cases.
• The review analyzed data from 787 patients undergoing breast augmentation with ADM placement.
• A significant portion of included studies focused on revisionary procedures.

Conclusions:

• Limited evidence suggests ADM is indicated for revision breast augmentation surgery.
• ADMs can effectively support the prosthetic pocket in breast augmentation.
• The use of ADM may minimize the risk and recurrence of capsular contracture.