Healty | One-Step Breast Reconstruction amongst Implants in addition to Alloderm

Implant pectus reconstruction is the most mutual method of pectus reconstruction currently performed inwards the US. There are 2 principal approaches: the "Alloderm one-step" (also referred to equally "single stage" or "direct to implant" reconstruction), as well as the two-stage reconstruction alongside tissue expanders. To easier explicate the ins-and-outs of the one-step procedure, I start ask to summarize the to a greater extent than traditional two-stage approach...

Tissue expanders essentially human activity equally "spacers". They tin either live placed at the same fourth dimension equally the mastectomy or some fourth dimension later. They are inflated alongside saline injections to recreate the desired pectus size. This expansion physical care for tin lead maintain several weeks depending on the amount of expansion required to accomplish the optimal loving cup size. Once the expansion physical care for is completed, the tissue expanders are removed as well as the concluding implants are placed. Reconstruction alongside pectus implants is thence unremarkably performed equally a multiple-step physical care for as well as tin lead maintain several months.

Alloderm One-Step / Single Stage / Direct to Implant Reconstruction

Some patients are candidates for a "One-Step" physical care for whereby the permanent implant is inserted at the fourth dimension of the mastectomy. Influenza A virus subtype H5N1 cadaveric implant known equally Alloderm is besides used to supply extra implant coverage as well as support. By going straight to the concluding implant inwards a unmarried stage, the patient has solely i physical care for as well as avoids the purpose of a tissue expander (and the whole expansion process) altogether. The scar tin besides live placed inwards the inframammary bend (at the pectus crease) which makes it much easier to hide. The One-Step physical care for is besides referred to equally "direct to implant" or "single stage" reconstruction.

This physical care for is apparently really appealing to many women, including those that may non live candidates for perforator flaps. The downwards fourth dimension inwards damage of recovery is besides much shorter than most of the alternatives (2-4 weeks).

There are some caveats though.... I used to offering this physical care for to most patients. Some One-Step surgeons even then do. Personally, I don't anymore - "the perfect candidate" for the physical care for has evolved inwards my eyes. Experience (and grayness hair) has a vogue of doing that.

So who is the "ideal candidate"?

1) Patients that practise non lead maintain a electrical flow pectus cancer diagnosis

2) Patients that are having rubber mastectomy only, e.g. for BRCA1 or BRCA2

3) Patients that are having nipple-sparing mastectomy

4) Patients that practise non ask a pregnant pectus lift

5) Patients that lead maintain non had previous breast/chest radiation


By limiting the physical care for to women who fulfill these strict criteria the surgical results are far to a greater extent than predictable as well as really cosmetic. The opportunity of farther revision or "touch up" procedures is besides really low.

PRMA patient Mrs Michelle Coben kindly shares her sense alongside the One-Step physical care for inwards the video below. You tin besides consider before as well as after pictures here.

I promise this information helps.

Dr C

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Dr Chrysopoulo specializes inwards advanced pectus reconstruction techniques including perforator flaps, Alloderm One-Step as well as fat grafting. He is In-Network for most U.S. of America insurance plans. Patients are routinely welcomed from across the USA. Please telephone telephone (800) 692-5565 or e-mail patientadvocate@PRMAplasticsurgery.com to acquire to a greater extent than almost your pectus reconstruction options. Connect alongside other pectus cancer patients at facebook.com/PRMAplasticsurgery.

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