The Direct-to-Implant Procedure
During this procedure, the implant is positioned either in front of or behind the chest muscle immediately after mastectomy. To provide additional soft tissue support, AlloDerm® is placed on the chest wall as well. (AlloDerm® is acellular dermal matrix, derived from the dermis of the skin.) Because the implants are placed during the same surgery as the mastectomy, patients can awaken from their surgery with a well-defined breast shape. While direct-to-implant breast reconstruction avoids the use of a tissue expander, additional procedures may be necessary to improve symmetry, breast size, or breast contour.