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Wise-Pattern Breast Reconstruction: Modification Using Alloderm and a Vascularized Dermal-Subcutaneous Pedicle
Annals of Plastic Surgery, 04/24/09
Derderian CA et al. - Wise-pattern skin-reducing mastectomy is an excellent strategy to provide an aesthetically pleasing, immediate implant breast reconstruction. This technique provides breast symmetry that is at least comparable to that of tissue expander-based, staged implant reconstructions. The reliability of the Wise-pattern technique is significantly improved with the addition of AlloDerm to the muscular pocket and a vascularized DSP to preserve the integrity of the reconstruction in the presence of T-point breakdown.
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