Which is superior: Galaflex or Strattice? Does Galaflex help prevent bottoming out and capsular contracture?

Dear Thoughtful,   Posting your pictures would have been helpful. I have been in practice for over 32 year and performed breasts augmentations and redo breasts augmentations on thousands of patients, including many bottoming out breasts. I have never used Strattice or Galaflex, because it is unnecessary. As a matter of fact, I operated on few patients who got Strattice by other surgeons and I had to remove ,at least, part of the material because of irregularities.    Bottoming out requires inferior capsulorrhaphy ( internal bra ) , which means excision of a sleeve of capsule at the sub mammary crease and suturing of the edges of the capsule with multiple permanent sutures , creating a higher level crease. After surgery you will have to wear a bra with a wire 24/7 for 6-8 weeks, to allow a strong scar to form at the crease. This technique worked for me very well without need for Strattice or Galaflex.   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of redo breasts augmentation in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.                              Best of luck,                                              Dr Widder   

Dear Thoughtful2810,
bottoming out occurs when the implant falls below the current breast crease or inframammary line. It's more likely to happen with inframammary incisions, which is why I try not to use the inframammary approach to any breast surgery.
Bottoming out can also occur if an implant is too large for the breast pocket. That is why it is important to choose an implant size that's correct for your body. I perform numerous measurements in the office to determine optimal implant size for my patient's bodies.
Regarding the Strattice and Gellaflex, every plastic surgeon has preferred type of product, which he uses. If you are concerned, please check it with your plastic surgeon for reassurance and to further discuss your options and possibility of revision.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery