ExaShape is Advanced Biomedical Concept’s biological matrix for breast reconstruction. This article explains what it is and the thinking behind its design, in general terms. It is educational information, not a substitute for the device instructions for use or clinical judgement.
What ExaShape is
ExaShape is a bovine pericardium-derived matrix designed to support a breast implant while encouraging the body to integrate the material. Bovine pericardium is chosen for its strong, highly organised collagen, which provides mechanical support for the implant pocket.
The bilayer idea
ExaShape is engineered as a bilayer membrane. The design intent is to combine mechanical support with a surface that actively encourages fibroblast activity and neovascularisation — in other words, to promote constructive remodelling into vascularised living tissue rather than encapsulation.
Why integration is the point
As explained in our overview of matrix integration, a scaffold that becomes vascularised is nourished, defended and durable. Designing specifically for revascularisation is what distinguishes an engineered matrix from an inert sheet.
Where it fits in technique
ExaShape is used to support and shape the implant pocket, and is well suited to prepectoral, muscle-sparing reconstruction, where the matrix carries more of the mechanical role. It is often complemented by ExaFat for soft-tissue refinement.
The bottom line
ExaShape is a bilayer, bovine pericardium-derived biological matrix engineered to support an implant and encourage revascularisation and integration — a med-tech tool for modern, muscle-sparing reconstruction. Evaluate it against our selection framework and current evidence.
This article is general information, not clinical guidance. Refer to the ExaShape instructions for use and current evidence; suitability is a clinical decision.
Important information This article is general education, not medical advice. Tap to read the full medical, regulatory & legal notice.
This article is provided by Advanced Biomedical Concept for general informational and educational purposes only. It does not constitute medical, surgical, diagnostic, or other professional healthcare advice, and it is not a substitute for consultation with a suitably qualified healthcare professional. Reading it creates no doctor–patient or other professional relationship. Nothing here should be used to diagnose, treat, cure, or prevent any disease or condition, or to make decisions about medical care. Always seek the advice of a physician or other qualified provider with any questions about a medical condition or treatment, and never disregard or delay professional advice because of something you have read here.
Any reference to Advanced Biomedical Concept products (including ExaShape and ExaFat) is provided for general information only. These are medical devices intended to be used by appropriately trained healthcare professionals strictly in accordance with their applicable, current Instructions for Use (IFU). Regulatory status (including CE marking and classification under the EU Medical Device Regulation), market availability, and approved indications differ between countries and may change over time; a device referred to here may not be available or approved in your country. This content is not intended as, and must not be relied upon as, a statement or claim of safety, clinical performance, or efficacy beyond what is set out in the applicable IFU and current regulatory approvals. Product-specific information is directed at healthcare professionals and is not intended to promote, advertise, or offer any medical device to the general public where such promotion is restricted or prohibited by law.
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Last reviewed: July 24, 2026.