Surgical Treatment of Capsular Contracture with Acellular Dermal Matrix: 100 Consecutive Cases

Area of Science:

• Plastic Surgery
• Regenerative Medicine

Background:

• Capsular contracture presents significant treatment challenges.
• Acellular dermal matrix (ADM) is a promising adjunct for high-risk patients.

Purpose of the Study:

• To evaluate the efficacy of ADM in treating Baker III/IV capsular contracture.
• To identify factors influencing ADM treatment outcomes.

Main Methods:

• Retrospective study of 100 patients with Baker III/IV capsular contracture treated with ADM (2014-2024).
• ADM was used for high-risk patients failing conventional therapy.
• Success defined as Baker II or better.

Main Results:

• 90% success rate for ADM treatment.
• Failures were associated with silicone implants, including ruptures.
• Ultrasound therapy salvaged 2/5 failures, specifically those with saline implants, increasing overall success to 92%.

Conclusions:

• ADM combined with conventional surgery yields high success rates for capsular contracture.
• Saline implants are preferred over silicone to enhance long-term results.
• Ultrasound therapy can salvage early ADM treatment failures in patients with saline implants.