I have had four revision surgeries to my right breast and it just keeps dropping. My skin and tissue are so thin and stretched at this point. I have had fat grafting as well. I've been presented with two options: permanent sutures or Galaflex. It seemed the only downside to Galaflex was the cost. I would love some feedback and/or advice to know which option gives the best results and will actually last. Thanks!
Answer: Breast Revision Surgery Hello,Though this question was posted several years ago, I think ongoing comments/discussion would be beneficial to other patients. Given you have had 4 surgeries, I believe the best option is to explant (remove your implants) and reconstruct the breasts with a mastopexy (breast lift). Once this has healed and settled (typically over 1 year), you can opt to volumize/shape the breasts with a fat transfer thereby eliminating any implant based options- which seems to be the culprit of all your issues.Hope this helps!Dr. Dev
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Answer: Breast Revision Surgery Hello,Though this question was posted several years ago, I think ongoing comments/discussion would be beneficial to other patients. Given you have had 4 surgeries, I believe the best option is to explant (remove your implants) and reconstruct the breasts with a mastopexy (breast lift). Once this has healed and settled (typically over 1 year), you can opt to volumize/shape the breasts with a fat transfer thereby eliminating any implant based options- which seems to be the culprit of all your issues.Hope this helps!Dr. Dev
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May 26, 2020
Answer: Bottoming Out / The Original Internal Bra Repair Good morning!I fix a lot of bottoming out- mesh is fine as an addition to a proper suture repair, but the suture repair is the KEY to success. I can't tell you how many patients I have seen with failed mesh repairs over the years- for some reason some surgeons think its some sort of magic material they can just throw in there and voila- problem gone- wrong!I perform the Original Internal Bra, my strong permanent internal suturing technique. It is the most common procedure I perform, 5-6 times a week- it works and it lasts. In about 20% of patients I also add mesh. But the mesh is the icing on the cake, not the key. So- sutures come first, mesh second if your budget allows- no doubt!
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May 26, 2020
Answer: Bottoming Out / The Original Internal Bra Repair Good morning!I fix a lot of bottoming out- mesh is fine as an addition to a proper suture repair, but the suture repair is the KEY to success. I can't tell you how many patients I have seen with failed mesh repairs over the years- for some reason some surgeons think its some sort of magic material they can just throw in there and voila- problem gone- wrong!I perform the Original Internal Bra, my strong permanent internal suturing technique. It is the most common procedure I perform, 5-6 times a week- it works and it lasts. In about 20% of patients I also add mesh. But the mesh is the icing on the cake, not the key. So- sutures come first, mesh second if your budget allows- no doubt!
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July 21, 2020
Answer: Galaflex > permanent suture In your situation, I would lean towards the Galaflex. The pocket can be revised using absorbable or permanent suture, but adding Galaflex would give better long term support. Fat grafting can also help with with overall shape of the breast.Best of luckDr. Baccaro
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July 21, 2020
Answer: Galaflex > permanent suture In your situation, I would lean towards the Galaflex. The pocket can be revised using absorbable or permanent suture, but adding Galaflex would give better long term support. Fat grafting can also help with with overall shape of the breast.Best of luckDr. Baccaro
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May 13, 2020
Answer: Explant and lift with delayed fat transfer, if necessary The weight of your implants exceeds the mechanical strength of your skin envelope. Sutures are only as strong as what they are sutured into, which is thin skin and Galaflex offers only passive support. The best option for you would be explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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, if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.
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May 13, 2020
Answer: Explant and lift with delayed fat transfer, if necessary The weight of your implants exceeds the mechanical strength of your skin envelope. Sutures are only as strong as what they are sutured into, which is thin skin and Galaflex offers only passive support. The best option for you would be explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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, if not injured during your previous surgery. Later, fat transfers can be performed if additional volume is desired. Best Wishes,Gary Horndeski, M.D.
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May 13, 2020
Answer: Revision surgery Dear aquestion,
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May 13, 2020
Answer: Revision surgery Dear aquestion,
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