Skip Navigation LinksHome > May 2013 - Volume 131 - Issue 5 > Autoderm: An Alternative Bioprosthetic for Breast Reconstru...
Plastic & Reconstructive Surgery:
doi: 10.1097/PRS.0b013e3182865af3
Breast: Ideas and Innovations

Autoderm: An Alternative Bioprosthetic for Breast Reconstruction

Selber, Jesse C. M.D., M.P.H.; Clemens, Mark W. M.D.; Oates, Scott M.D.; Baumann, Donald P. M.D.

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Abstract

Summary: The widespread use of bioprosthetic mesh in breast reconstruction has revealed an increased risk of seroma and infection, and a high financial cost. This study introduces a technique that mitigates these shortcomings using an autologous dermal graft (Autoderm). Indications, operative technique, and 1-year outcomes are reviewed. Thirty-six breasts in 21 patients underwent six unilateral and 15 bilateral, implant-based breast reconstructions with Autoderm. Mean follow-up was 365 days (range, 273 to 575 days). The overall complication rate was 13.9 percent. No patients developed breast cellulitis, hyperemia, periprosthetic infection, or seroma. There was one implant exposure following expansion. Autoderm provides the advantages of lower pole support and breast shaping, without the disadvantages of increased infection, seroma, and the high cost associated with allograft and xenograft meshes.

CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.

©2013American Society of Plastic Surgeons

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