Galaform mesh a good idea with Lift + 550cc Implant? (Photo)

Question

I have decided to move forward with a lift + implant. I'm leaning towards a 550cc Gummy Bear Silicone sub pectoral moderate profile implant. Is getting the Galaform mesh a good idea in this combo?? It's an additional $1000 that I'm happy to spend if it will help prevent sagging / provide additional support.

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It seems like you can benefit from a breast lift with implants. A breast augmentation and a breast lift work hand and hand to enhance the overall shape and size of a woman’s breasts. A board certified plastic surgeon will be able to guide you to the correct size implant. Based upon measurements of your chest wall and breast imprint width as well as knowledge of all breast implant sizes and profiles should make this process easy. Try on a profile bra with various silicone cc sizers your PS recommends under a tailored blouse, tank top, bikini, workout clothes, and other garments you typically wear so that you have the best idea of whether the garments fit as desired with the implant selected. Select the size that boosts your self-esteem, and fits your anatomy. Choosing an implant based on an aesthetic goal that exceeds your anatomic capacity may lead to complications and possibly revision.

Gary M. Horndeski, MD · Answer

Your breast are very low on the chest wall. You have adequate volume so implants are not needed but you need a lift. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired. Implants are not lifetime devices. 8% fail within the first year and 30% fail within six years. Fat transfers are permanent and incorporated into the body.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Zoran Potparic, MD · Answer

Breast lift is definitely a good idea. I do not suggest contoured implants, however. For someone with that amount of breast tissue, anatomical implants are not going to make any difference in comparison to smooth, round gel implants. Good luck.

Ronald J. Edelson, MD · Answer

I would propose a different approach altogether. I would do the lift only first. Then in three months put the implants in if you feel you need them. In this way you get the best result in the safest way. I have seen surgeons try to do this all in one procedure which has greater risks, is more likely to require revision ( hence a second operation anyway), and won’t have as nice a result. I don’t see the need for galaflex at all. Also performing the operation  with 550 cc implant will
Increase risks as well if you try to do it in one stage. Ask the surgeon to show you cases he/she has done who started off as droopy as you. You need to be lifted too far fir a single stage approach.

Daniel Barrett, MD · Answer

Dear Cb04191986,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

I would not elect to use mesh nor the gummy bear implants since the gummy bear are firm implants. I would also suggest considering going somewhat smaller so your sagging tissue won't have to support such heavy weight.

Galaform mesh a good idea with Lift + 550cc Implant? (Photo)

Answers (6)

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