Complications with breast lift using GalaFLex scaffolding

Question

I am downsizing my implants and using GalaFlex mesh for support. I am growing concerned because I have come across a few women on social media who have opted for explantation and removal of the mesh after 1 year. They attribute pain to the mesh. They are unable to wear a bra because touch is painful, and they can feel every inch of the mesh. Have you had any conversations with your patients 1+ year post op after using the mesh and are they reporting any such issues or consistent pain?

Richard Baxter, MD · Answer

It is very uncommon the have pain issues with Galaflex after initial healing. Patients with very thin tissue may be able to feel it for a while, but over 12-18 months in transforms into living tissue.

Gerald Minniti, MD, FACS · Answer

It's absorbable. Most women don't have pain with the mesh, though some may feel it (to the touch) until it melts. You may not 'need' mesh to accomplish your goals. Make sure you consult with revision breast experts.

Daniel Barrett, MD · Answer

Dear madysoul,
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

Michael C. Edwards, MD, FACS · Answer

Speaking from my clinical experience with Galaflex in over 50 breasts, aI have not had a patient return with breast pain attributable to the mesh. This mesh is designed to provide support and then it will reabsorb over an approximate 18 month period and should be replaced by your collagen over this resorption period. I’m sure there are board-certified plastic surgeons in your geographic area who have similar experiences with mesh use. I recommend you discuss your concerns with your plastic surgeon who can share their thoughts and experiences. I wish you well.
Dr. Edwards

Complications with breast lift using GalaFLex scaffolding

Answers (4)

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