Correction of a fold malposition (bottoming out) involves replacing the implant to the correct position by restoring the inframammary fold. Almost all cases of fold malposition are corrected by placing a mesh or acellular dermal matrix (ADM) as an internal bra to support the implant and fold. Currently, we are using both Strattice Reconstructive Tissue Matrix or GalaFlex mesh for support.
Correction involves excising a piece of the capsule and doing a layered closure using a Strattice Reconstructive Tissue Matrix, an “internal bra” to provide additional support to the implant. This “internal bra” is an acellular reconstructive tissue matrix designed to support tissue regeneration. It helps control the breast implant location, defines the breast shape and prevents bottoming out in Boca Raton.
Dr. Pozner usually will use Allergan – Natrelle – Inspira implants. We use 3 types of internal mesh – Galaflex, Galaform for normal mastopexies and support & Strattice for capsular contracture. Surgical times vary from 1 to 3 hours and recovery is usually quick. Postoperative taping and use of an underwire bra is essential for about 6 weeks. Refer to our postoperative recommendations for more details on recovery time.
