What question did this study set out to answer?

The aim is to assess how the timing of acellular dermal matrix (ADM) placement influences capsular contracture and complications in breast reconstruction.

April 10, 2026

Timing of Acellular Dermal Matrix Placement in Two-stage Breast Reconstruction: Effects on Contracture and Complications

Key Points

The aim is to assess how the timing of acellular dermal matrix (ADM) placement influences capsular contracture and complications in breast reconstruction.
Analyzed timing of ADM during two-stage breast reconstruction.
Evaluated outcomes like capsular contracture and seroma occurrences.
Considered the impact of radiotherapy and axillary surgery on complications.
Deferring ADM placement reduced the rates of capsular contracture.
No increase in expander loss was observed.
Higher seroma risk was noted in patients undergoing radiotherapy and/or axillary surgery.

Abstract

In prepectoral two-stage reconstruction, deferring ADM to the implant-exchange stage may reduce capsular contracture without increasing expander loss. Because seroma risk may be higher in patients receiving radiotherapy and/or axillary surgery, ADM timing should be individualized and paired with seroma-mitigation strategies in higher-risk patients.

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Discussion

Authors

J Liu

Yonsei University

Eunjung Yang

Yonsei University

Seung Yong Song

Yonsei University

Journals

Aesthetic Surgery Journal

Actions

Institutions

Yonsei University

References and Citations

Connected Papers

Building similarity graph...

Analyzing shared references across papers

Timing of Acellular Dermal Matrix Placement in Two-stage Breast Reconstruction: Effects on Contracture and Complications

Key Points

Abstract

Citation Network

Connected Papers

Discussion

Authors

Journals

Actions

Institutions

References and Citations

Citation Network

Connected Papers

Discussion

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