Current Issue April 2012 | Vol. 39, No. 2

Current Topic

Acellular Dermal Matrices in Breast SurgeryGuest Editor: Richard A. Baxter

The use of acellular dermal matrices (ADMs) in breast surgery has been transformative over the past decade. For implant-related problems, they can provide a unifying solution to the multiple issues stemming from inadequate tissue for coverage and support. The concept of a living internal bra is a compelling one for patients and plastic surgeons alike. Challenging problems such as implant rippling, malposition, and capsular contracture have all found a potential solution with ADMs. Extending this concept to reconstruction, ADMs have helped define a new model. Along with increasing use of skin- and nipple-sparing mastectomy, the availability of BRCA genetic testing, and better implants, many patients now achieve superior outcomes with mastectomy than with "breast-conserving" treatment with radiation and lumpectomy. Many thoughtful innovators have contributed to these developments, and this issue of the Clinics in Plastic Surgery is dedicated to those forward-thinking surgeons.