Immediate implant based breast reconstruction using the TIGR ® Matrix

The use of acellular dermal or synthetic matrices has improved the functional and cosmetic outcome of implant based breast reconstruction. The new materials provide additional tissue for implant coverage (comparable to an internal supportive bra) and allow reconstruction of larger breast volumes, a more pronounced ptosis and control of the inframammary fold. However, there are major concerns related to the higher complications rates associated with the use of matrices resulting in reconstruction failure, the lack of prospective studies and longtime follow-up. Moreover, it still remains unclear, which of the acellular dermal, synthetic or biological matrices currently flooding the market meet the reconstruction requirements best. The ideal matrix should be ready to use (without long lasting washing procedures), mouldable, but still mechanically stable, should not cause allergic, immunologic or toxic reactions and should be rapidly integrated into the tissue. More, the costs of the matrix will become a major factor for most hospitals and insurance companies in the future.