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Review
. 2019 Feb;8(1):3-10.
doi: 10.21037/gs.2018.10.05.

The use of acellular dermal matrix in breast reconstruction: evolution of techniques over 2 decades

Ilana G Margulies  1 , C Andrew Salzberg  1
Affiliations
Review

The use of acellular dermal matrix in breast reconstruction: evolution of techniques over 2 decades

Ilana G Margulies et al. Gland Surg. 2019 Feb.

Abstract

Acellular dermal matrices (ADMs) are biotechnologically derived tissues that have become a cornerstone of implant-based breast reconstruction over the last 2 decades. Their use in both dual-plane and prepectoral approaches have provided greater soft tissue coverage and implant support with good cosmetic outcomes and low rates of complication. This review describes the evolution of notable ADM-assisted surgical techniques that have advanced the field and broadened implant-based reconstructive options.

Keywords: Acellular dermal matrix (ADM); breast cancer; breast reconstruction.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Preoperative (A) and postoperative (B) views of a patient who underwent immediate breast reconstruction using the dual plane subpectoral approach with ADM. ADM, acellular dermal matrix.
Figure 2
Figure 2
Algorithm to guide the clinical decision making in DTI breast reconstruction with ADM. DTI, direct-to-implant; ADM, acellular dermal matrix; ICG, indocyanine green; TE, tissue expander.
Figure 3
Figure 3
Preoperative (A,C) and postoperative (B,D) views of two patients who underwent immediate breast reconstruction using the prepectoral approach with ADM. These patients later required secondary fat grafting to correct the deformity. ADM, acellular dermal matrix.
See this image and copyright information in PMC

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