Figure 1

Example of primary augmentation without the use of porcine-derived acellular dermal matrix. Our patient (a 45-year-old woman with poor mammary soft-tissue support) underwent bilateral augmentation with left-sided mastopexy without the use of porcine-derived acellular dermal matrix. (A,B) Pre-operative frontal views show glandular ptosis marked by separation between the chest wall soft tissues. (C,D) Early post-operative views after initial surgery show glandular ptosis and separation between the chest wall soft tissues to still be present, as well as descending breast implant and stress relaxation of mammary soft tissues under the influence of implant weight without porcine-derived acellular dermal matrix. In the lateral view, the arrow shows rippling on the lateral breast surface. Because of poor lower pole support, soon after her primary surgery, our patient was deemed a candidate for bilateral revisional augmentation with porcine-derived acellular dermal matrix for inferior pole support. (E) The frontal view shows improved implant lift and upper breast fullness after bilateral revisional augmentation with porcine-derived acellular dermal matrix. (F) The lateral view shows resolution of rippling.