No Cleavage 7 Months After Dual Plane Implant Exchange, Anchor Lift & Galaflex. What kind of revision will fix this? (Photos)

June 11, 2025
Asked By:Peaceful544663 in Mission Viejo, California

Hi doctors, I am 7 months out from a breast implant exchange and anchor lift. My previous implant was slightly larger, but I developed significant sagging after pregnancy. For this surgery, I received 775cc implants placed in the dual-plane pocket, which was reused from before, and Galaflex mesh was added for internal support. Despite the lift and mesh, I still do not have natural cleavage when standing, and the implants feel low and wide on my chest. When I lie down, the implants tend to fall outward toward my armpits, leaving a noticeable gap in the center. While my nipple position appears lifted, the overall breast mound seems to sit too low. I expressed my concerns to my surgeon, but he reassured me that everything looked fine. However, I still feel like the positioning is off. Could this be due to lateral displacement or because the original pocket wasn’t adequately revised? Is it possible the Galaflex is reinforcing a pocket that is too low or wide? Would pocket reconstruction typically be necessary in a case like this to improve implant position and cleavage? I would appreciate any professional insights or advice on what might have happened and what kind of revision could help. Thank you very much.

3 photos

Answers (2)

From board-certified doctors and trusted medical professionals
MOST RECENT
June 26, 2025

Answer: Explant with Bellesoma Method

Gary M. Horndeski, MDBoard Certified Plastic Surgeon
MOST RECENT
June 26, 2025

Answer: Explant with Bellesoma Method

Gary M. Horndeski, MDBoard Certified Plastic Surgeon
June 26, 2025

Answer: Unhappy result

Gerald Minniti, MD, FACSBoard Certified Plastic Surgeon
June 26, 2025

Answer: Unhappy result

Gerald Minniti, MD, FACSBoard Certified Plastic Surgeon

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