{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:20:05Z","timestamp":1783524005252,"version":"3.55.0"},"reference-count":16,"publisher":"Oxford University Press (OUP)","license":[{"start":{"date-parts":[[2026,6,8]],"date-time":"2026-06-08T00:00:00Z","timestamp":1780876800000},"content-version":"vor","delay-in-days":158,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Increasing evidence supports the role of soft-tissue reinforcement in enhancing outcomes and longevity in breast surgery. Maintenance of lower pole shape, soft-tissue support and implant position often requires use of mesh in aesthetic procedures. The authors describe their experience utilizing a fully resorbable multifilament scaffold (TIGR\u00ae Matrix, Novus Scientific, Uppsala, Sweden) as an alternative to biologic and synthetic meshes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To assess early safety and performance outcomes when TIGR Matrix is utilized in primary and revision cosmetic breast surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We began routinely utilizing TIGR matrix in aesthetic breast surgeries in 2023 and retrospectively reviewed all patients who underwent primary or revision elective cases with the mesh. Indication for use and examination of product performance was performed via a retrospective review.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>TIGR matrix was used in 206 patients (407 breasts), mean age 42.6 years, with mean follow-up of 9.2 months. Mean BMI was 24.2 with 30 patients (14.6%) having a history of massive or major weight loss. One hundred fourteen cases (55.3%) were primary procedures, 92 (44.7%) were revisions. Mesh was placed in the subfascial position in 97 (47.1%) cases and submuscular in 109 (52.9%). Ten patients (4.9%) required postoperative intervention; 5 seromas in 4 patients (1.9%) required mesh removal and implant exchange and 6 patients required revision surgeries due to animation deformity (5) and implant displacement (1).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Use of TIGR matrix demonstrated early safety and effectiveness, achieving consistent clinical outcomes in both primary and revision aesthetic breast surgeries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence: 3 (Therapeutic)<\/jats:title>\n                    <jats:p\/>\n                  <\/jats:sec>","DOI":"10.1093\/asjof\/ojag109","type":"journal-article","created":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T11:43:14Z","timestamp":1780746194000},"source":"Crossref","is-referenced-by-count":0,"title":["Early Performance of a Multifilament Resorbable Synthetic Mesh in Aesthetic Breast Surgery: A 206 Patient Experience"],"prefix":"10.1093","volume":"8","author":[{"given":"Renee M","family":"Burke","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charalambos K","family":"Rammos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,8]]},"reference":[{"key":"2026070811071300900_ojag109-B1","doi-asserted-by":"publisher","first-page":"98","DOI":"10.1055\/s-0041-1727272","article-title":"Revision breast augmentation","volume":"35","author":"Denney","year":"2021","journal-title":"Semin Plast Surg"},{"key":"2026070811071300900_ojag109-B2","doi-asserted-by":"publisher","first-page":"922","DOI":"10.1097\/PRS.0000000000000582","article-title":"A systematic review of single-stage augmentation-mastopexy","volume":"134","author":"Khavanin","year":"2014","journal-title":"Plast Reconstr Surg"},{"key":"2026070811071300900_ojag109-B3","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1016\/j.jpra.2024.02.004","article-title":"Acellular dermal matrix in breast augmentation surgery: a systematic review","volume":"40","author":"Marra","year":"2024","journal-title":"JPRAS Open"},{"key":"2026070811071300900_ojag109-B4","doi-asserted-by":"publisher","first-page":"185","DOI":"10.1016\/j.jpra.2025.06.001","article-title":"A systematic review of mesh support of the breast in aesthetic breast surgery","volume":"45","author":"Wong","year":"2025","journal-title":"JPRAS Open"},{"key":"2026070811071300900_ojag109-B5","doi-asserted-by":"publisher","first-page":"485","DOI":"10.1016\/j.asj.2009.09.007","article-title":"Use of the acellular dermal matrix in revisionary aesthetic breast surgery","volume":"29","author":"Maxwell","year":"2009","journal-title":"Aesthet Surg J"},{"key":"2026070811071300900_ojag109-B6","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1007\/s00266-021-02398-x","article-title":"Ptosis and bottoming out following mastopexy and reduction mammoplasty. Is synthetic mesh internal breast support the solution? A systematic review of the literature","volume":"46","author":"Atiyeh","year":"2022","journal-title":"Aesthetic Plast Surg"},{"key":"2026070811071300900_ojag109-B7","doi-asserted-by":"publisher","first-page":"450","DOI":"10.1016\/j.jpra.2025.09.029","article-title":"Poly-4-hydroxybutyrate mesh (GalaFlex\u00ae) in aesthetic breast surgery: a comprehensive systematic review","volume":"46","author":"Palmesano","year":"2025","journal-title":"JPRAS Open"},{"key":"2026070811071300900_ojag109-B8","doi-asserted-by":"publisher","first-page":"1130","DOI":"10.1093\/asj\/sjaf100","article-title":"Histomorphologic outcomes of GalaFLEX scaffold used in breast surgery: clinical follow-up from 6 weeks to 63 months","volume":"45","author":"Van Natta","year":"2025","journal-title":"Aesthet Surg J"},{"key":"2026070811071300900_ojag109-B9","doi-asserted-by":"publisher","DOI":"10.1093\/asjof\/ojac004","article-title":"Bioabsorbable polydioxanone mesh for soft tissue reinforcement in revisional breast surgery","volume":"4","author":"Turin","year":"2022","journal-title":"Aesthet Surg J Open Forum"},{"key":"2026070811071300900_ojag109-B10","doi-asserted-by":"publisher","first-page":"e7170","DOI":"10.1097\/GOX.0000000000007170","article-title":"Early outcomes using TIGR mesh in direct-to-implant breast reconstruction","volume":"13","author":"Shauly","year":"2025","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"2026070811071300900_ojag109-B11","doi-asserted-by":"publisher","first-page":"1120","DOI":"10.1007\/s00266-020-01822-y","article-title":"The use of synthetic mesh in reconstructive, revision, and cosmetic breast surgery","volume":"44","author":"Becker","year":"2020","journal-title":"Aesthetic Plast Surg"},{"key":"2026070811071300900_ojag109-B12","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1007\/s10029-011-0885-y","article-title":"Three-year results from a preclinical implantation study of a long-term resorbable surgical mesh with time-dependent mechanical characteristics","volume":"16","author":"Hjort","year":"2012","journal-title":"Hernia"},{"key":"2026070811071300900_ojag109-B13","first-page":"e51. PMID: 39474001","article-title":"Soft tissue support as an adjunct to implant-based cosmetic breast surgery: a 500+ case experience","volume":"24","author":"Chiemi","year":"2024","journal-title":"Eplasty"},{"key":"2026070811071300900_ojag109-B14","volume-title":"Risks Associated with Acellular Dermal Matrix in Breast Surgery","author":"FDA Safety Communication","year":"2021"},{"key":"2026070811071300900_ojag109-B15","doi-asserted-by":"publisher","DOI":"10.1093\/asj\/sjaf002","article-title":"Outcomes in implant-based breast reconstruction utilizing biosynthetic mesh: a meta-analysis","author":"Arnautovic","year":"2025","journal-title":"Aesthet Surg J"},{"key":"2026070811071300900_ojag109-B16","doi-asserted-by":"publisher","first-page":"665","DOI":"10.1080\/11024159950189726","article-title":"Foreign body reaction to meshes used for the repair of abdominal wall hernias","volume":"165","author":"Klinge","year":"1999","journal-title":"Eur J Surg"}],"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\/ojag109\/68486548\/ojag109.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/doi\/10.1093\/asjof\/ojag109\/68486548\/ojag109.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article-pdf\/doi\/10.1093\/asjof\/ojag109\/68486548\/ojag109.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T15:07:25Z","timestamp":1783523245000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/asjopenforum\/article\/doi\/10.1093\/asjof\/ojag109\/8703590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":16,"URL":"https:\/\/doi.org\/10.1093\/asjof\/ojag109","relation":{},"ISSN":["2631-4797"],"issn-type":[{"value":"2631-4797","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026]]},"published":{"date-parts":[[2026]]},"article-number":"ojag109"}}