{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T02:30:33Z","timestamp":1792549833284,"version":"4.5.0"},"reference-count":25,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T00:00:00Z","timestamp":1643760000000},"content-version":"vor","delay-in-days":32,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The need for revision procedures after breast implant surgery often arises from the failure of soft tissues to provide a stable implant pocket. Meshes or dermal matrices have been used to reinforce the implant\u2019s soft tissue support. Durasorb (Surgical Innovation Associates, Chicago, IL) is a resorbable polydioxanone (PDO) mesh indicated for soft tissue reinforcement. Its monofilament, macroporous design allows for ease of handling and rapid tissue incorporation. The extended timeline of PDO bioabsorption provides support during the critical portions of soft tissue healing while avoiding long-term complications of permanent products.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Evaluate the efficacy of Durasorb PDO mesh for soft tissue reinforcement in revision breast surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This is a prospective case series of 17 patients (27 breasts) undergoing revision breast implant surgery with Durasorb PDO mesh.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Five patients (5 breasts) presented for revision after implant placement for breast reconstruction, with the remaining 22 presenting for revision after implant placement for cosmetic indications. Average patient age was 47.9 years, and average BMI 24.3. Indications for surgery were implant malposition (37%), capsular contracture (30%), poor cosmesis\/asymmetry (26%), and recurrent soft tissue ptosis (7%). Follow up averaged 355 days (range 174 to 799 days, SD=155). One patient experienced a seroma 2 weeks post-operatively, which resolved after a single aspiration. No infections, wound healing problems, or recurrences of implant malposition\/capsular contracture were encountered.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Durasorb PDO mesh appears to be efficacious as a breast implant pocket reinforcement in the reoperative setting with a low complication rate and durable results.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Level of Evidence: 4<\/jats:title>\n                  <jats:p\/>\n               <\/jats:sec>","DOI":"10.1093\/asjof\/ojac004","type":"journal-article","created":{"date-parts":[[2022,2,2]],"date-time":"2022-02-02T06:57:25Z","timestamp":1643785045000},"source":"Crossref","is-referenced-by-count":18,"title":["Bioabsorbable Polydioxanone Mesh for Soft Tissue Reinforcement in Revisional Breast Surgery"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8515-7637","authenticated-orcid":false,"given":"Sergey Y","family":"Turin","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karol","family":"Gutowski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2022,2,2]]},"reference":[{"issue":"2","key":"2023021307421489100_CIT0001","first-page":"1","article-title":"The Aesthetic Society\u2019s Cosmetic Surgery National Data Bank: Statistics 2020","volume":"41","year":"2021","journal-title":"Aesthet Surg J."},{"key":"2023021307421489100_CIT0002","first-page":"63","article-title":"Popcorn capsulorrhaphy in revision aesthetic breast surgery","volume-title":"Aesthet Surg J.","author":"Calobrace","year":"2020"},{"key":"2023021307421489100_CIT0003","first-page":"70s","article-title":"The use of acellular dermal matrices in revisional breast reconstruction","volume-title":"Plast Reconstr Surg.","author":"Slavin","year":"2012"},{"key":"2023021307421489100_CIT0004","first-page":"389","article-title":"Efficacy of acellular dermal matrices in revisionary aesthetic breast surgery: a 6-year experience","volume-title":"Aesthet Surg J.","author":"Maxwell","year":"2013"},{"key":"2023021307421489100_CIT0005","first-page":"959","article-title":"Periareolar mammaplasty: double skin technique with application of polyglactine or mixed mesh","volume-title":"Plast Reconstr Surg.","author":"G\u00f3es","year":"1996"},{"key":"2023021307421489100_CIT0006","first-page":"350","article-title":"Periareolar mastopexy with FortaPerm","volume-title":"Aesthetic Plast Surg.","author":"Goes","year":"2010"},{"key":"2023021307421489100_CIT0007","first-page":"502","article-title":"The use of poly-4-hydroxybutyrate (P4HB) scaffold in the ptotic breast: a multicenter clinical study","volume-title":"Aesthet Surg J.","author":"Adams","year":"2018"},{"key":"2023021307421489100_CIT0008","first-page":"S23","article-title":"Clinical use of GalaFLEX in facial and breast cosmetic plastic surgery","volume-title":"Aesthet Surg J.","author":"Adams","year":"2016"},{"key":"2023021307421489100_CIT0009","first-page":"731e","article-title":"The use of absorbable mesh in implant-based breast reconstruction: a 7-year review","volume-title":"Plast Reconstr Surg.","author":"Faulkner","year":"2020"},{"key":"2023021307421489100_CIT0010","first-page":"374","article-title":"Mastopexy and mastopexy-augmentation","volume-title":"Aesthet Surg J.","author":"Qureshi","year":"2018"},{"key":"2023021307421489100_CIT0011","first-page":"1128","article-title":"Update on the use of synthetic mesh in reconstructive and cosmetic breast surgery","volume-title":"Aesthetic Plast Surg.","author":"Becker","year":"2020"},{"key":"2023021307421489100_CIT0012","first-page":":73.","article-title":"Long-term dynamic changes in cosmetic outcomes and patient satisfaction after implant-based postmastectomy breast reconstruction and contralateral mastopexy with or without an ultrapro mesh sling used for the inner bra technique. A retrospective correlational study","volume-title":"Cancers (Basel).","author":"J\u00f3zsef","year":"2020"},{"key":"2023021307421489100_CIT0013","first-page":"30","article-title":"US FDA breast implant postapproval studies: long-term outcomes in 99,993 patients","volume-title":"Ann Surg.","author":"Coroneos","year":"2019"},{"key":"2023021307421489100_CIT0014","first-page":"7s","article-title":"Ten-year core study data for Sientra\u2019s Food and Drug Administration-approved round and shaped breast implants with cohesive silicone gel","volume-title":"Plast Reconstr Surg.","author":"Stevens","year":"2018"},{"key":"2023021307421489100_CIT0015","first-page":"1354","article-title":"Natrelle round silicone breast implants: core study results at 10 years","volume-title":"Plast Reconstr Surg.","author":"Spear","year":"2014"},{"key":"2023021307421489100_CIT0016","first-page":"421e","article-title":"Recent advances in implant-based breast reconstruction","volume-title":"Plast Reconstr Surg.","author":"Colwell","year":"2020"},{"key":"2023021307421489100_CIT0017","first-page":"652","article-title":"Evaluation of resorbable polydioxanone and polyglycolic acid meshes in a rat model of ventral hernia repair","volume-title":"J Biomed Mater Res B Appl Biomater.","author":"Fatkhudinov","year":"2019"},{"key":"2023021307421489100_CIT0018","first-page":"e3529","article-title":"Evaluation of a novel absorbable mesh in a porcine model of abdominal wall repair","volume-title":"Plast Reconstr Surg Glob Open.","author":"Mlodinow","year":"2021"},{"key":"2023021307421489100_CIT0019","first-page":"3224","article-title":"Chest wall reconstruction in a canine model using polydioxanone mesh, demineralized bone matrix and bone marrow stromal cells","volume-title":"Biomaterials.","author":"Tang","year":"2009"},{"key":"2023021307421489100_CIT0020","first-page":"371","article-title":"Polydioxanone-based bio-materials for tissue engineering and drug\/gene delivery applications","volume-title":"Eur J Pharm Biopharm.","author":"Goonoo","year":"2015"},{"key":"2023021307421489100_CIT0021","first-page":"S33","article-title":"The history of GalaFLEX P4HB scaffold","volume-title":"Aesthet Surg J.","author":"Williams","year":"2016"},{"key":"2023021307421489100_CIT0022","first-page":"e192","article-title":"Tissue reinforcement in implant-based breast reconstruction","volume-title":"Plast Reconstruct Surg Glob Open.","author":"Scheflan","year":"2014"},{"key":"2023021307421489100_CIT0023","first-page":"30s","article-title":"What\u2019s new in acellular dermal matrix and soft-tissue support for prosthetic breast reconstruction","volume-title":"Plast Reconstr Surg.","author":"Kim","year":"2017"},{"key":"2023021307421489100_CIT0024","first-page":"8e","article-title":"Implant-based breast reconstruction using a titanium-coated polypropylene mesh (TiLOOP Bra): a multicenter study of 231 cases","volume-title":"Plast Reconstr Surg.","author":"Dieterich","year":"2013"},{"key":"2023021307421489100_CIT0025","first-page":"90e","article-title":"Beyond biologics: absorbable mesh as a low-cost, low-complication sling for implant-based breast reconstruction","volume-title":"Plast Reconstr Surg.","author":"Tessler","year":"2014"}],"container-title":["Aesthetic Surgery Journal Open Forum"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/asjopenforum\/advance-article-pdf\/doi\/10.1093\/asjof\/ojac004\/42363018\/ojac004.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/doi\/10.1093\/asjof\/ojac004\/49165541\/ojac004.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/doi\/10.1093\/asjof\/ojac004\/49165541\/ojac004.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,2,13]],"date-time":"2023-02-13T07:42:42Z","timestamp":1676274162000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article\/doi\/10.1093\/asjof\/ojac004\/6519829"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,1,1]]},"references-count":25,"URL":"https:\/\/doi.org\/10.1093\/asjof\/ojac004","relation":{},"ISSN":["2631-4797"],"issn-type":[{"value":"2631-4797","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,1,1]]},"published":{"date-parts":[[2022,1,1]]},"article-number":"ojac004"}}