Optimizing Acellular Dermal Matrix Timing in 2-Stage Prepectoral Breast Reconstruction: Balancing Capsular Contracture and Complications

Optimizing Acellular Dermal Matrix Timing in 2-Stage Prepectoral Breast Reconstruction: Balancing Capsular Contracture and Complications

Delaying acellular dermal matrix (ADM) placement to the second-stage implant exchange in prepectoral 2-stage breast reconstruction reduces capsular contracture rates without increasing tissue expander loss, although seroma risk may rise in patients undergoing radiotherapy or axillary surgery.