All about acellular dermal matrix (ADM) mesh for breast reconstructions

Written in association with: Mr Mohamed Shaaban
Published: | Updated: 19/11/2024
Edited by: Conor Lynch

Using an acellular dermal matrix (ADM) mesh has become a groundbreaking approach in achieving superior aesthetic outcomes in immediate breast reconstruction. ADM mesh is made from processed human or animal tissue, stripped of cells while retaining a matrix that supports tissue integration.

 

This framework provides strength and flexibility, making it particularly useful in breast reconstruction surgeries where natural contours and a stable structure are vital. A newer generation of ADM mesh products has shown promising results in enhancing both the functionality and aesthetic quality of reconstructive surgeries, benefiting patients seeking natural-looking outcomes.

Benefits

The primary advantage of ADM mesh in immediate breast reconstruction is its ability to support and shape the reconstructed breast. When placed along the lower portion of the implant, it creates a well-defined, natural-looking contour that enhances the overall shape and projection of the breast.

 

By providing additional support, ADM mesh helps maintain the implant’s position, preventing issues like bottoming-out or lateral displacement, which can affect the symmetry and appearance of the breast. This stability contributes to long-term aesthetic success, allowing patients to enjoy results that look and feel more natural.

 

Another benefit of using ADM mesh in breast reconstruction is the enhanced healing process. The acellular nature of the matrix minimises the risk of adverse immune responses, as it integrates smoothly with the patient’s tissue, promoting blood flow and tissue regrowth.

 

This integration also reduces the risk of capsular contracture, a complication where scar tissue tightens around the implant, potentially distorting the breast shape and causing discomfort. The new ADM mesh materials are designed to support early-stage recovery, which may reduce post-operative complications and lead to smoother healing with less discomfort.

 

For patients, the use of ADM mesh in immediate breast reconstruction means access to more refined aesthetic results. The mesh offers an optimal balance between structural support and natural appearance, providing surgeons with a tool that enhances both the visual and functional outcome of reconstruction. As ADM technology advances, it continues to set a new standard in breast reconstruction, offering patients a path toward more satisfying and lasting aesthetic results.

By Mr Mohamed Shaaban
Surgery

Mr Mohamed Shaaban is an honorary consultant in general, laparoscopic, and breast surgery at North Cumbria University Hospitals. With over 13 years of experience, he is based at North Tyneside Hospital in Newcastle upon Tyne.
 
Dr Shaaban has been a consultant in general, laparoscopic, and breast surgery at North Tyneside Hospital since August 2012. For nearly 12 years, he has provided high-quality surgical care and managed a wide range of cases, including benign breast conditions, symptomatic and screen-detected breast cancer, laparoscopic cholecystectomy, laparoscopic and open repair of inguinal, incisional, and paraumbilical hernias, excision of lumps and bumps, and management of pilonidal sinus.
 
Before this role, Mr Shaaban was a consultant in general surgery at Royal Victoria Infirmary from April 2010 to August 2012. Here, he developed his surgical skills and contributed to the hospital's surgical department.

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