Dr. Salzberg of the New York Group for Plastic Surgery often uses an a-cellular tissue matrix such as Alloderm or Strattice in his Direct-to-Implant, or “One-Step,” post-mastectomy breast reconstruction. This helps to:
- Avoid the use of tissue expanders, which stretch the pectoralis (chest) muscle to make a space for an eventual implant. Instead, the pectoralis muscle in combination with Alloderm or Strattice accommodates the permanent implant directly at the time of mastectomy (no painful expansions for months after surgery required.)
- Provide a supportive sling for the implant by maintaining the inframammary (under breast) fold to preserve natural breast shape, and act as an “internal bra” to support the implant.
Here are frequently asked questions and answers for patients following breast reconstruction with implants and Alloderm or Strattice: