Dermal substitute breast reconstruction policy

Hani Sbitany, Howard N. The use of acellular dermal matrix ADM in many plastic surgery procedures, including breast reconstruction, has increased dramatically in recent years. This article is a summary of existing literature on ADM for primary implant reconstruction, to provide a more thorough understanding of the benefits of ADM in single- and to two-stage breast reconstruction and to identify the areas where further investigation is needed.

This information will be valuable for surgeons performing breast reconstructions. Loss of the breast can strongly affect a woman's personal and social life while breast reconstruction reduces the sense of mutilation felt by women after a mastectomy, and provides psychosocial as well as aesthetic benefits. Although numerous studies have been published on various aspects of alloplastic breast reconstructions, most studies are single-center observations.

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Her doctor glossed over the part of the procedure in which the large pectoralis major muscles are detached from some underlying ribs, pulled off the chest wall, then stretched out for several months to accommodate breast implants. The process can weaken the muscle and left Dr. Cohan, an obstetrician, with chronic pain that made it difficult for her to work at a computer, let alone deliver babies.

Aetna considers reconstructive breast surgery medically necessary after a medically necessary mastectomy or a medically necessary lumpectomy that results in a significant deformity i. Aetna considers the body lift perforator flap technique for breast reconstruction experimental and investigational because there is insufficient evidence to support the effectiveness of this approach. Aetna considers the use of the following acellular dermal matrices medically necessary for breast reconstruction:. Aetna considers associated nipple and areolar reconstruction and tattooing of the nipple area medically necessary.

Autologous reconstruction sometimes called autogenous reconstruction uses tissue -- skin, fat, and sometimes muscle -- from another place on your body to form a breast shape. The tissue called a "flap" usually comes from the belly, the back, buttocks, or inner thighs to create the reconstructed breast. The tissue can be completely separated from its original blood vessels and picked up and moved to its new place in your chest.

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Full thickness burns of the chest in childhood are a devastating problem that requires challenging reconstructive options. Integra is a bilaminate artificial dermis composed of shark chondroitin 6-sulfate and bovine collagen. The dermal matrix serves as a scaffold for fibroblasts and endothelial cells.

Types of breast reconstruction 2. Comparing breast reconstruction options 4. Reconstruction with breast-conserving surgery 5.

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These services may or may not be covered by your HealthPartners plan. Please see your plan documents for your specific coverage information. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage.

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Using a breast implant is one option for reconstructing the shape of your breast after surgery to remove the cancer. Several types of implants can be used. This type of breast reconstruction can be done at the same time as the cancer surgery.


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