Breast Augmentation Revision - Gaylaflex with different types of implants?

Question

I currently have 275 CC moderate Natrelle implants. I have a contracture on one side. I have consulted a trusted surgeon and am scheduled for a revision. He is suggesting a GalaFlex to help with stability since I have very little natural breast tissue. I have had significant weight loss and have maintained about 115-120 lbs for 3 years. My first implants were put in two years ago, and there was a lift at that time as well. He is recommending an additional lift. He generally uses Motiva in his practice. I like the firmness of the Natrelle and he said he would use those if I desired. I would like to achieve a more full and round look from both the front and the side. I like the firmness of the cohesive gel in the Natrelle, but am willing to consider Motiva brand. I can't find any research on Natrelle and the Gaylaflex specifically. If I choose the Natrelle, do you think they would be robust with the mesh? And, do you think the mesh would help to reduce the risk of additional capsular contracture? Additionally, do you think 340-345 CC Full would be a good option? Thank you.

Daniel Barrett, MD · Answer

Dear Energetic714855,

breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.
Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.
While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.
If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Kadir Berat Oyur, MD · Answer

Thank you for your question. From your description, it appears you have minimal natural breast tissue and some asymmetry due to capsular contracture.
You would be a suitable candidate for a revision with a breast lift and implants. Implant choice and size, such as 340–345 cc, can be tailored to achieve the fuller, rounder shape you’re looking for.
I hope this helps.

Breast Augmentation Revision - Gaylaflex with different types of implants?

Answers (2)

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