I am looking to get breast revision surgery after the procedure to fix a capsular contracture resulted in a bottomed out implant. The doctor I consulted with mentioned that using an internal bra like galaflex wouldn't be necessary since my scar tissue would act as an internal bra. I'm concerned since much of what I've read says a mesh bra should be used to prevent reoccurrence. Since my implants are small (300 on this side, and he is not removing) could this be why an internal bra isn't necessary?
Answer: Breast Revision I would recommend a complex breast revision including removing the diseased capsules, placing new implants and Galaflex. Capsular contracture requires that the diseased capsules are removed. If you do not remove the capsules, there is a 50% chance of recurrence of the capsular contracture.
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Answer: Breast Revision I would recommend a complex breast revision including removing the diseased capsules, placing new implants and Galaflex. Capsular contracture requires that the diseased capsules are removed. If you do not remove the capsules, there is a 50% chance of recurrence of the capsular contracture.
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June 11, 2025
Answer: Surgical mesh Hi Alledo. Thanks for your question. I'm so sorry to hear about your complications. I would typically suggest some type of mesh in a revisional surgery such as yours to prevent the bottoming-out that occured. The mesh would create an internal "bra" to provide additional support to the lower breast. Implant revision cases are always challenging, so I highly recommend seeking out a board-certified plastic surgeon that specializes in breast surgery and has extensive experience in revision surgeries. Best of luck in your aesthetic journey.
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June 11, 2025
Answer: Surgical mesh Hi Alledo. Thanks for your question. I'm so sorry to hear about your complications. I would typically suggest some type of mesh in a revisional surgery such as yours to prevent the bottoming-out that occured. The mesh would create an internal "bra" to provide additional support to the lower breast. Implant revision cases are always challenging, so I highly recommend seeking out a board-certified plastic surgeon that specializes in breast surgery and has extensive experience in revision surgeries. Best of luck in your aesthetic journey.
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June 9, 2025
Answer: Breasts If you have some tissue or capsule that can be used for the repair and do not have large heavy implants, mesh is usually not needed for initial repairs.
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June 9, 2025
Answer: Breasts If you have some tissue or capsule that can be used for the repair and do not have large heavy implants, mesh is usually not needed for initial repairs.
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June 7, 2025
Answer: Internal bra Hello and thank you for your question. The use of bio absorbable mesh in revision breast surgery depends on the quality of your soft tissue support. Structures that provide support include the breast capsule ( scar tissue around the implant) and the breast skin and subcutaneous fat. Based on your photograph, you have a " double bubble" deformity with descent of the implant below the existing inframammary fold, which is indicative of loss of structural support. Another factor that may be contributing to this would be downward pressure on the implant by your pectorals major muscle. You may benefit from changing planes to a sub glandular or sub fascial location ( if your implants are currently sub muscular) along with repair of your capsule. In these cases, I often have mesh available and make the decision on whether or not to use it based on the structural quality of the capsule during the repair. Good luck. I hope this helps.
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June 7, 2025
Answer: Internal bra Hello and thank you for your question. The use of bio absorbable mesh in revision breast surgery depends on the quality of your soft tissue support. Structures that provide support include the breast capsule ( scar tissue around the implant) and the breast skin and subcutaneous fat. Based on your photograph, you have a " double bubble" deformity with descent of the implant below the existing inframammary fold, which is indicative of loss of structural support. Another factor that may be contributing to this would be downward pressure on the implant by your pectorals major muscle. You may benefit from changing planes to a sub glandular or sub fascial location ( if your implants are currently sub muscular) along with repair of your capsule. In these cases, I often have mesh available and make the decision on whether or not to use it based on the structural quality of the capsule during the repair. Good luck. I hope this helps.
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June 3, 2025
Answer: Bottomed out implant Bottoming out will occasionally occur after aggressive treatment of capsules. This is probably more common after total capsulectomies. In retrospect, using an ADM such as Galaflex may have been helpful at the time of the capsule treatment. To now correct this condition, most surgeons would perform a capsulorraphy. An ADM is not always necessary as there will be some recurrent capsule present that could be used for the repair. I personally make this an intraoperative decision, i.e. I decide whether to use an ADM depending on the findings in surgery.
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June 3, 2025
Answer: Bottomed out implant Bottoming out will occasionally occur after aggressive treatment of capsules. This is probably more common after total capsulectomies. In retrospect, using an ADM such as Galaflex may have been helpful at the time of the capsule treatment. To now correct this condition, most surgeons would perform a capsulorraphy. An ADM is not always necessary as there will be some recurrent capsule present that could be used for the repair. I personally make this an intraoperative decision, i.e. I decide whether to use an ADM depending on the findings in surgery.
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