Background Acellular dermal matrices (ADMs) are increas- aesthetic outcome by facilitating greater inferior pole expan- ingly being utilized in primary and secondary breast recon- sion. Mathematical models are provided to describe the mod- struction as they confer several advantages, including soft ifications and elucidate the mechanism behind their effect on tissue enhancement at the inferolateral pole of the breast. breast shape. The senior authors have added fenestrations to ADMs to allow Level of Evidence: Not ratable for more rapid expansion and improved breast aesthetics. The . . purpose of this study is to describe the benefits of ADM fen- Keywords Acellular dermal matrix Breast reconstruction . . estration using a mathematical formula as a proof of concept Fenestrations Inferior pole expansion Mathematical model for the effects of these modifications on breast shape. Methods The aggregate effect of symmetrically arranged fen- estrations on the ADM’s mechanical properties is explained Introduction by a uniform reduction in the effective Young’smodulus of the graft in a direction perpendicular to the chest wall in the The use of acellular dermal matrices (ADMs) has become area of graft fenestration. Asymmetric reduction of the increasingly prevalent in primary (direct-to-implant) and Young’s modulus is achieved by concentration
European Journal of Plastic Surgery – Springer Journals
Published: May 6, 2015
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