The Perfect Boobs Talk > Surgery
Internal Bras
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antecedent:
Some use galaflex, others use strattice.
Others:
Pousti : sutures
Revis : metal attachments to ribcage, screwed or hooked on, silk sutures attach to implant capsule
What else have you seen?
dirtyduck:
Most plastic surgeons do some form of "internal bra" or "pocket repair". Often the procedure uses the existing scar tissue and is called a capsulorrhaphy. These repairs seem to sometimes degrade over time with medium to larger implants. They are also often painful as these procedures often stitch the pocket down to the ribs.
Stratice and Alloderm are two kinds of ADM (Acellular Dermal Matrix) that have had the living guts washed out of sheets of skin cells. Alloderm is sourced from human cadavers, Stratice is derrived from pigs. It can be sutured from the bottom of the muscle to the chest wall under the implant to create a sling or placed pretty much anywhere around the implant for reinforcement. It is often used for patients with thin skin as it provides an immediate thickening and reinforcement as well as causing tissue growth into the material. It's been used to fix rippling and soften the top of the implants where the patient's tissue wasn't thick enough. The major downside is it's super expensive, like $5K/sheet or more.
Galaflex and Galaform are really cool new products that use a biodegradable mesh compound already used some in hernia repair and other purposes. There are millions of people walking around with products using this compound. It is a firm but slightly yeilding polymer that can be moulded and shaped with heat and turns into a collagen scaffold when absorbed by the body. Depending on the product it's a flat sheet, a curved sheet with tabs, or a highly curved shape. It's sutured from the sides to form a sling under the breast to lock it in place internally. From what I've read it is a miracle worker. There is a report by an early adopter of the product that it allows him to use significantly larger implants than he normally would. He indicated that with use of these products there is less than 10% drop of the implants after initial surgery. That's huge for thinner ladies that want to go big because the problem with high profile implants placed dual plane (partially under the muscle) is that they just keep sliding down the torso and require some lift and internal bra type repair. This could allow a more permanent initial placement or much longer lasting repair. The only major issue I saw reading the medical literature (available online so take that with a grain of salt) is getting the mesh deep enough under the wound so that the skin will heal over. In a normal crease incision it seemed to be fine, however at least one DR was reporting issues with wound re-opening when combining the product with anchor lifts. In that operation, instead of a linear opening, you have an upside down "T" where three pieces of skin meet. In a patient with "bad" scars you can see there is often a lot of scar tissue there. Since you have two points of skin with limited blood supply and the mesh is creating a barrier for new supply to develop from anything below I could see how this causes problems. The pictures he had were pretty bad. I would think twice about combining it with an anchor lift.
There is a youtube video where one of the younger big bust models was consulting with Dr. Chao (took over Pousit's practice) demonstrated a galaform product and how it would support her (soon to be) much larger breasts (I think she was looking in the 2K range). The implants don't need to be anywhere near that size to take advantage, just happened to be the girl in the video was going quite large...
I'm hoping this product ushers a new era of being able to accurately place larger implants and have them hold their position better over time.
BooBie Vision:
https://www.parjournal.net/article/view/1255
History of and materials used.
Wabill:
Hi Dirty Duck,
Who is the surgeon/ early adopter you mentioned?
Thanks
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