Op-Med is a collection of original articles contributed by Doximity members.
With Richard Baxter MD
So, all mastoplexies and breast reductions, no matter what the technique is will relapse a little bit, because the reason you’re doing a breast lift is because the tissues have failed. The skin envelope is lax, the internal ligaments are lax and we’re counting on those same tissues to hold the breast up in terms of shape and fullness, and they just don’t do that. This much we know. So, we’ve been looking for alternatives to add back that support. This is true, whether there’s an implant or whether it’s just breast tissue, so we’re using this resorbable meshes. Now we don’t want is something permanent because that could create permanent problems, but if you can use something that will last long enough to provide a sort of a template for the tissue to grow back in and add the support on its own over time. That’s really the key, and so that’s what we’re working on.
When is resorbable mesh needed?
Implants that have slipped out of position benefit from support. We can do a procedure called capsulorrhaphy. Where you’re suturing the scar capsule. But, if the capsule is already thin and stretched, then that’s often not enough. Adding mesh, we’ve used acellular dermal matrices in the past, mesh is a newer option. Patients who are very thin to begin with, so you know there is a thin tissue envelope. There’s a lot of interest, now, in adding some mesh at the time of primary augmentation.