Acellular dermal matrices (ADM) have been successfully used in reconstructive surgery for more than two decades. These matrices are safe and effective products with minimal complication rates. In breast reconstructions, acellular dermal matrices have been used since 2001. They are applied as a 3D mesh for ingrowth of connective tissue cells and other elements necessary for a stable frame. These matrices reduced the incidence of repeated procedures for tissue expansion, capsular contractures, postoperative pain syndrome, multi-stage surgeries, etc. Nevertheless, these products have certain disadvantages associated with higher incidence of such complications as skin flap necrosis, infection and seroma. Despite numerous studies devoted to ADM in reconstructions, there is still small number of high-quality prospective studies devoted to benefits and side effects of these products in breast reconstruction.

Keywords. acellular dermal matrices, breast reconstruction, breast implants, expander reconstruction