Commentary on: Efficacy of Acellular Dermal Matrix Type in Treatment of Capsular Contracture in Breast Augmentation: A Systematic Review and Meta-Analysis

Article Surgery

ADMs and synthetic meshes improve implant-based breast reconstruction aesthetics, but at what cost?

Yasmina Samaha et al.

Summary: Acellular dermal matrices (ADMs) have shown potential in reconstructive breast surgery by improving aesthetic outcomes and reducing capsular contracture rates. However, concerns about cost and complications remain. A study was conducted on implant-based reconstruction (IBR) cases between 2007 and 2021, involving 51 plastic surgeons. The data collected included age, comorbidities, mesh type used, and acute complications. The results showed higher infection and wound dehiscence rates for prepectoral IBR with ADM. Both subpectoral and prepectoral IBR with ADM had higher infection and wound complication rates compared to without ADM, with only the subpectoral cohort showing statistical significance. Prepectoral IBR with ADM or mesh had the lowest rates of capsular contracture and aesthetic reoperations.

JOURNAL OF PLASTIC RECONSTRUCTIVE AND AESTHETIC SURGERY (2023)

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Review Surgery

Advances on Capsular Contracture-Prevention and Management Strategies: A Narrative Review of the Literature

Pietro Susini et al.

Summary: This review summarizes the current theories on prevention and management strategies for capsular contracture (CC), emphasizing the complexity of CC and the need for individualized treatment strategies. Discordant data and conclusions are present in the literature, indicating the need for further research to establish evidence-based protocols for CC prevention and treatment.

PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN (2023)

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Review Surgery

Efficacy of Acellular Dermal Matrix Type in Treatment of Capsular Contracture in Breast Augmentation: A Systematic Review and Meta-Analysis

Kaitlyn Samuels et al.

Summary: Acellular dermal matrices (ADM) are effective in treating capsular contracture after breast augmentation, with statistically significant differences in efficacy among different ADM types. Strattice stands out as an effective option for reducing the risk of capsular contracture.

AESTHETIC SURGERY JOURNAL (2023)

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Article Surgery

Acellular Dermal Matrices in Breast Reconstruction: CARE Trial 5-Year Outcomes Data for More Than 9500 Patients

Warren A. Ellsworth et al.

Summary: This study compared complications in breast reconstruction patients using acellular dermal matrix (ADM) versus those not using ADM over a 5-year period. The results showed that patients using ADM had lower rates of capsular contracture and seroma, and the procedure was more successful overall.

PLASTIC AND RECONSTRUCTIVE SURGERY-GLOBAL OPEN (2022)

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