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The benefits of using acellular dermal matrices (ADMs) in implant-based breast reconstruction have recently been reported both for primary reconstructions as well as revisionary procedures. Techniques using ADMs in these settings have been shown to assist in controlling implant position by defining the inframammary fold (IMF) and lateral mammary fold (LMF). In addition, they may provide a decreased risk of capsular contracture and may be used in the management of already developed contractures. The purpose of this chapter is to review the newest trends in the use of ADMs in implant-based breast reconstruction. A direct-to-implant approach to primary breast reconstruction following nipple-areola sparing mastectomy (NASM) is detailed and the revisionary procedures highlighted include the correction of implant malposition and the management of capsular contracture.

Acellular Dermal Matrix for Optimizing Outcomes in Implant-Based Breast Reconstruction: Primary and Revisionary Procedures