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There are many reasons breast augmentation procedures may fail to achieve the desired aesthetic results. Some patients have characteristics that pose special challenges to the surgeon - such as stretchy skin, recent massive weight loss, or thin tissue. Others may have already undergone multiple prior corrective surgeries, making additional revisions more difficult.
Venus de Milo
Circa 100 BC
The Louvre, Paris, France
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Plastic surgeons are challenged to attain the control necessary to achieve a successful repair and a pleasing aesthetic outcome. Used in breast augmentation revision surgery, Strattice™ Tissue Matrix is a tool that may:
- Help control the breast pocket size and location
- Act as an “internal bra” to help support and hold the implant in place
- Help support fold repairs
- Offer an additional layer of tissue that may mask implant visibility
Complications following breast plastic surgery that may be addressed with the use of Strattice™ Tissue Matrix:
Bottoming out
The use of Strattice™ Tissue Matrix for repair of bottoming out is similar to the breast reconstruction technique, in which Strattice™ Tissue Matrix acts as an “internal bra” to provide additional support to the implant. Strattice™ Tissue Matrix is attached to the pectoralis muscle and the new IMF to secure the pocket and help hold the implant in the desired location. There are a number of approaches to create the new pocket, in which the original capsule may or may not be used.
Inferior or Lateral Fold Malposition
Adjusting the pocket to create a more optimally located inframammary or lateral fold can be a relatively straightforward procedure. However, in some patients the malposition can recur over time as the implant and pocket cannot be maintained in their new location. Utilizing Strattice™ Tissue Matrix along the new fold may provide the extra support needed to help maintain the implant in the desired location.
Synmastia
The correction of synmastia is a particularly challenging repair. Commonly, the repair fails to provide long-term medial support and the problem recurs. Strattice™ Tissue Matrix may provide an additional layer of support to the capsule and medial pocket in order to help maintain the implant(s) in the desired location.
Wrinkling/Rippling
The correction of wrinkling and rippling is a combination between pocket size correction and coverage. It is often a result of thin tissues which do not mask the ripples on the implant. Some surgeons believe that using Strattice™ Tissue Matrix as an “internal bra” to help support and hold the implant in the desired location (support technique) may diminish wrinkling or rippling, even in the upper pole. This approach is essentially the same as that used for bottoming out.
Before use, physicians should review all risk information and essential prescribing information which can be found in the Strattice™ Reconstructive Tissue Matrix Instructions for Use. |
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