Petite & 270cc implants slipped 2 years post-op - galaflex? (Photos)

Question

I got implants January 2022. I chose a modest size (270cc). I am happy with the size as I did not want anything huge for my petite body. A few months after surgery, my implants started slipping equally on both breasts. 2 years later, my nipples are pointing up and when I don't wear a bra, I can feel my implants curling at the bottom. In a bikini, I literally had to tape my nipples down. My dr suggested GalaFlex mesh. Has anyone had success with this?

Gerald Minniti, MD, FACS · Answer

Galaflex, the leading company in resorbable mesh, has changed the way surgeons feel about smooth implants. It has allowed us to fully let go of any want for textured devices, which present their own problems. Your case is ideal: good tissue characteristics, modest implant size relative to your anatomy, and symmetrical dropout that is not severe. The process involves removing the implants, placing sutures to 'close down the pocket' along the inframammary fold, replacing implants, and placing mesh along the repair. Discomfort will be mild.

Gianfranco Frojo, MD · Answer

Without a physical exam, it is challenging to make a definitive recommendation. It appears that your nipple to fold distance is too long. This can be solved by performing an inferior horizontal resection of skin. Adding Galaflex will only strengthen the support for the implant over time. Adding the Galaflex scaffold, will not do anything to the where the nipples are pointing. To change nipple position, there must be some type of skin excision. I would find a surgeon certified by the American Board of Plastic Surgery; ideally, one with an aesthetic fellowship accredited by The Aesthetic Society. I would also review before/after photos, Google reviews, and talk to the surgeon directly if possible.

Robert M. Wald, Jr., MD · Answer

Bottoming out of the breast implants is not uncommon. It usually occurs due to the stretching of the breast tissue and skin due to lack of tissue support. We use mesh to firm up the lower breast pole to add support of the inframammary crease. This helps to prevent the bottoming out effect. I would talk to your surgeon about this.

Daniel Barrett, MD · Answer

Dear Lauren08723,I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

Your implants are bottoming out and the weight of the implants is causing the skin to stretch and the implants will continue to migrate inferiorly.  You will need the implants temporarily removed, plication of the capsules inferiorly and laterally and dissection of the upper portion of the capsules to allow the implants to be replaced higher on the chest wall.

Best Wishes,

Gary Horndeski, M.D.

Petite & 270cc implants slipped 2 years post-op - galaflex? (Photos)

Answers (9)

Answer: Implant slipped

Answer: Implant slipped

Answer: Revision

Answer: Revision

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Everything you need to know about Breast Implant Revision

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Petite & 270cc implants slipped 2 years post-op - galaflex? (Photos)

Answers (9)

Answer: Implant slipped

Answer: Implant slipped

Answer: Revision

Answer: Revision

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.