Breast Reconstruction with Autoderm Beverly Hills

Autoderm is a one-of-a-kind technique developed by Dr. Schwartz as an alternative to acellular dermal matrix (ADM) (Alloderm, FlexHD). ADM is a cadaveric skin graft (from a donor) where all the cells have been removed, so it is basically a dermal, or collagen, graft that your body grows in to. It is necessary when someone does not have enough muscle to cover an implant or tissue expander completely. However, if a woman has a large breast with a lot of skin, Dr. Schwartz has developed this technique to utilize all of the breast skin and, in some cases, spare the underlying muscle. This allows for very little pain and also decreases the chance of animation deformity (implant moving when chest is flexed). An adjustable saline implant is placed during the initial surgery and is expanded over a period of time in the office. Since he only uses skin, which is numb from the mastectomy, he is able to expand a lot more rapidly than can traditionally be done and sometimes is able to put the permanent silicone implant prior to other treatments, if needed, such as radiation or chemotherapy. You also have the choice of leaving the saline implant and just removing the port, which may be done in the office. This procedure minimizes pain and the chance of implant movement. Also, the only scar is typically “hidden” at the bottom of the breast crease and not across the breast. Furthermore, if there are complications, Dr. Schwartz can still use your local muscle rather than a distant flap.

If a woman chooses to not undergo breast reconstruction, the Autoderm procedure may still be utilized to give a chest mound that prostheses may be worn over.

Overview

Autoderm is a one-of-a-kind technique developed by Dr. Schwartz as an alternative to acellular dermal matrix (ADM). However, if a woman has a large breast with a lot of skin, Dr. Schwartz has developed this technique to utilize all of the breast skin and, in some cases, spare the underlying muscle.  This allows for very little pain and also decreases the chance of animation deformity (implant moving when chest is flexed).  An adjustable saline implant is placed during the initial surgery and is expanded over a period of time in the office.  Since he only uses skin, which is numb from the mastectomy, he is able to expand a lot more rapidly than can traditionally be done and sometimes is able to put the permanent silicone implant prior to other treatments, if needed, such as radiation or chemotherapy.  You also have the choice of leaving the saline implant and just removing the port, which may be done in the office.  This procedure minimizes pain and the chance of implant movement.  Also, the only scar is typically “hidden” at the bottom of the breast crease and not across the breast.  Furthermore, if there are complications, Dr. Schwartz can still use your local muscle rather than a distant flap.

If a woman chooses to not undergo breast reconstruction, the Autoderm procedure may still be utilized to give a chest mound that prostheses may be worn over.

About the Procedure  

Autoderm was created by Dr. Schwartz to meet the needs of breast reconstruction patients.  It is an extremely safe and effective technique.  As the patient’s own skin is used, which remains vascularized, the graft quickly adheres to the existing tissue.  Tissue expansion is accomplished with a saline implant, which may be left in permanently or swapped out to a softer silicone implant.  The expansion is generally fast, and, if desired, a second operation to exchange for a permanent silicone implant can be scheduled rather quickly in some circumstances.  This is advantageous to those women who will require radiation or chemotherapy (which normally beings about eight weeks post-op).

Fast Facts on Autoderm Breast Reconstruction

Our Location

Jaime S. Schwartz, MD, FACS

Board Certified Plastic Surgeon

310.882.5454