Galaflex (Internal Bra)
Paul F. Fortes MD Plastic Surgery

This is a 57 year old mother of five children who previously had breast augmentation ten years previously with 345cc silicone gel implants placed in subpectoral pockets. She had developed drooping of the breasts as well as animation of the breasts which she wished to correct. She also reports that the right breast implant always remained higher than the left one. She wished to have correction of these problems and also have larger implants. She also wished to have body contouring by abdominoplasty, liposuction of the flanks, and improvement of a depressed old surgical scar of the left flank.

She underwent bilateral explantation of her old breast implants and secondary augmentation with 425cc Motiva implants. Subfascial neopockets were developed to correct the animation deformities and to correct the waterfall deformities of the breasts, making breast lift surgery unnecessary. Galaflex mesh soft tissue support was used bilaterally. She also underwent liposuction of the flanks, left flanks scar revision, and full abdominoplasty. She is shown before surgery and only three weeks post-op.

This is a 48 year old woman who had previously undergone breast augmentation and breast lift by another plastic surgeon many years previously. She was not satisfied with the aesthetic results provided by the previous plastic surgeon and expressed an interest in improving her breasts. She wished to have the breast a bit smaller, better shaped, more symmetrical, and softer and more natural in feel. Her previous augmentation was with 600cc saline implants, and she had developed capsular contractures with malposition of her implants. Her areolas were also irregularly shaped and too large.

She underwent complete revision of her breasts, including removal and replacement of the old implants with 525cc silicone round demi profile Motiva implants supported internally with Galaflex mesh. She underwent capsulectomy, and capsulorrhaphy to correct the malposition. She also underwent secondary mastopexy (breast lift). She is shown before surgery and six weeks post-op!