What is the best surgical approach for Breast Augmentation Revision while using Strattice?

Q:

I had breast augmentation in 1997 with sub-muscular Saline Implants.  I have developed a flexion deformity of the left side, which sits lower than the right and shows a double bubble when I flex my pectoral muscles.  I have been told the use of Acellular Dermal Matrix is the best way to correct my problem.  What is the best surgical approach to access and remove the old implants in preparation for the new implants while using Acellular Dermal Matrix?

A:

This is a very good question. The most common approach with the easiest access is the inframammary approach.

Best,

Gary R Culbertson, MD, FACS

A:

Brenda,

Thank you for your question. Revision of breast augmentation and insertion of acellular dermal matrix is best done through an infra mammary incision beneath the breast.

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