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Toledo, OH | (419) 534-6551

Complex Revision With Strattice™ Tissue Matrix

Model - Breast RevisionDr. Craig Colville specializes in complex breast augmentation revision at his Toledo, Ohio, practice. In many cases, he uses Strattice reconstructive tissue matrix to help address specific problems, such as weak or inadequate breast tissue. The Strattice tissue matrix is approved by the FDA and is designed to support tissue regeneration. It is made of the same natural products widely used for years to repair and replace damaged tissues in other surgical procedures.

If you are experiencing complications following breast augmentation surgery and want to learn more about the tissue matrix Dr. Colville offers, request a consultation online to meet with him, or call his office at (419) 534-6551 to schedule an appointment. Women visit him from cities near Toledo such as Maumee and Bowling Green, OH, as well as Monroe and Ann Arbor, MI.

Craig W. Colville, MD, FACS

"My ultimate goal is to design a plan accommodating your wishes and desires in the most aesthetically pleasing manner possible."

Meet Dr. Colville  
Meet Dr. Colville  

What is Strattice Tissue Matrix?

The tissue matrix is derived from porcine dermis. It's a soft, natural product designed to reinforce weak tissue and support the growth of your own tissue. Since 2002, products such as the Strattice tissue matrix have been used in post-mastectomy breast reconstruction. They have also been used to treat surgical, trauma, and burn patients for more than 10 years.

Its use in revision procedures can help to:

  • Reinforce the breast pocket in the desired location
  • Support and position breasts in desired position
  • Redefine the breast fold location
  • Minimize the need for significant muscle manipulation and spare the use of additional muscles
  • Reinforce thin tissue in the presence of ripples and wrinkles

Solution to Complications

Dr. Colville can use Strattice tissue matrix to help women who have undergone surgery elsewhere, and have complex breast issues including:

Bottoming out

Bottoming out is a common complaint from women who have had breast implants for some time. Long after their breast augmentation surgery, some women experience a lengthened nipple-to-inframmamary fold distance — in other words, their nipples seem to have moved up on the breast. In reality, the breast pocket itself has dropped lower than desired, which stretches the skin beneath the breast. Breast skin laxity or the loss of skin elasticity may have also caused the breast to drop.

In the revision surgery, Dr. Colville attaches the tissue matrix internally to the inframammary fold and chest muscle, which can help support and position your breasts in the desired location.

Fold malposition

When the fold below your breast (the inframammary fold) or the fold on the side of your breast (the lateral fold) moves, it's called "fold malposition." The form and defining borders of the breasts are affected by natural folds that should provide gentle curvatures under and on both sides of your breasts. These folds give the breasts definition and help maintain their shape and position.

After breast augmentation surgery, one or both breast pockets can be compromised by either the loss of skin elasticity or a breakdown of pocket boundaries, affecting either the inframammary fold, lateral fold, or both. Should this occur, the breast pocket may drift to the outside of your chest or appear to have dropped. They will no longer be in their original, desired position.

In breast implant revision surgery, Dr. Colville readjusts the breast pockets and re-establishes the inframammary and lateral folds. He then uses strips of the tissue matrix to redefine the fold location by supporting the fold repair inferiorly or laterally.


Breast implants can sometimes come too close to the midline of your chest, resulting in a condition called symmastia (sometimes called "bread-loafing" or "uniboob") The natural space that exists between breasts is gone, leaving a woman without cleavage. Whether the breasts are naturally large or have been enhanced, there should be a degree of separation to give each breast definition.

Symmastia can occur following breast augmentation surgery if:

  • The breast pocket created was made too large
  • Your breasts have migrated out of their original position
  • The fibrous tissue that creates the medial fold becomes weak or stretched

The Strattice tissue matrix can help support the repaired or newly created medial fold. During the breast implant revision, Dr. Colville will use the tissue matrix to reinforce existing weak or inadequate tissue, which may help provide additional support to hold the breast pocket in the desired location.

Wrinkling and rippling

Wrinkling and rippling can occur when the skin is stretched too thin or when the breast pocket exceeds the optimum size needed. Also, if your breast implants migrate out of their original position because the breast pocket is too large, the appearance of rippling may occur. Rippling also commonly results when breast implants are too large and they "bottom out."

The quality of the skin that envelops the breast tissue significantly influences the shape of your breasts. Even though your breast skin contains special elastic fibers, there is natural and hereditary variation in the amount of elasticity and thickness of each person's breast skin, and this affects the overall appearance of your breasts.

Dr. Colville places the tissue matrix at the bottom of your breasts to reinforce weak or inadequate tissue. This can help support and position your breasts in the desired location, reducing the presence of wrinkles and ripples on the skin surface.

Capsular contracture

Capsular contracture is an unpredictable condition that may occur when scar tissue that naturally forms around your breast implants continues to increase in thickness. As thickness increases, it squeezes the breast, causing tightness, firmness, and changes in the appearance of your breasts. The condition may occur in one or both breasts and may vary in degree and severity. Discomfort and changes in breast appearance may require additional surgery. There is currently no known cause for this condition. The only known solution is to remove the capsule and replace the implants, sometimes in a newly created pocket.

Breast augmentation revision surgery may compromise the breast tissue and skin elasticity, causing the need for additional support to maintain and improve the overall breast appearance. Dr. Colville uses Strattice tissue matrix to help achieve your desired surgical outcome.

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