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Prevention of Breast Implant Displacement Using the Acellular Dermal Matrix Garter Belt

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  • Breast Surgery
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Abstract

Background

Since the issue of breast implant-associated anaplastic large cell lymphoma, smooth breast implants tend to be the more preferred option in implant-based breast reconstructions, compared to its use previously. The most unfavorable aspect of smooth implants is lateral and inferior displacements, which are more common in patients who undergo breast reconstruction compared to augmentation mammoplasty. Hence, we introduce a prevention method for implant displacement using an acellular dermal matrix garter belt.

Methods

This study is a retrospective review of patients who had undergone implant-based breast reconstruction between April 2019 and December 2020. Some patients who have highly possibility of implant displacement, had undergone the application of an ADM garter belt to prevent lateral or superior displacement. Implant displacement was assessed before and at least 6 months postoperatively.

Results

A total of 155 IBR cases were recorded. ADM garter belts were applied in 27 patients (17.4%) who had a high tendency of implant displacement for several reasons, which could be classified into two categories: wide breast pocket (56%) and tight inferomedial breast pocket (44%). The intraoperative average distance of lateral slip** on patients’ reconstructed breasts from the chest wall midline in supine position was 3.02 ± 0.81 cm and corrected to1.54 ± 0.69 cm at least 6 months postoperative follow-up.

Conclusions

We utilized an ADM strap as an internalized garter belt to minimize implant displacement. This ADM garter belt combined with capsuloplasty might be an effective way to prevent the displacement of smooth implants in the patients with a greater risk of implant displacement.

Level of Evidence IV

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Acknowledgement

The authors appreciate Medical Art Studio (Sun-Joo Kim) for the preparation of the excellent illustrations and graphic design.

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Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, CHA University School of Medicine, Bundang CHA Medical Center, 59, Yatap-ro, Bundang-gu, Seongnam-si, Gyeonggi-do, Republic of Korea

    Hyun Jeong Ha, Seong Heum Jeong, Jun Young Yang, Chan Woo Kim & Euna Hwang

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  1. Hyun Jeong Ha
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  2. Seong Heum Jeong
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  3. Jun Young Yang
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  4. Chan Woo Kim
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  5. Euna Hwang
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Corresponding author

Correspondence to Euna Hwang.

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Conflict of interest

All authors confirm that there are no conflict of interest.

Ethical Approval

This study was conducted following the approval of the CHA University Bundang CHA Medical Center Institutional Review Board (IRB No. 2021-07-059).

Informed Consent

Informed consent was obtained from all participants.

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Ha, H.J., Jeong, S.H., Yang, J.Y. et al. Prevention of Breast Implant Displacement Using the Acellular Dermal Matrix Garter Belt. Aesth Plast Surg 46, 1042–1049 (2022). https://doi.org/10.1007/s00266-021-02665-x

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  • DOI: https://doi.org/10.1007/s00266-021-02665-x

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