Breast BEFORE & AFTER Patient 162: Breast Augmentation with Lift, Motiva Implants and Internal Bra (GalaFLEX)

Before & After

A 50-year-old female patient presented with concerns of breast volume loss. After a comprehensive evaluation, she elected to undergo breast augmentation with a breast lift to restore volume and improve breast shape and position. The procedure, performed by Dr. Crantford in Charleston, South Carolina, included placement of 230 cc Motiva implants in a subfascial plane, along with tissue support using GalaFLEX mesh to enhance structural integrity and long-term results. Photos are shown 6 months post-op.

Breast augmentation combined with a lift addresses two distinct concerns simultaneously — restoring lost volume while repositioning and reshaping breast tissue that has descended or lost its youthful contour over time. Patients who come to Dr. Crantford at Crantford Costa Plastic Surgery in Charleston, SC, with this combination of concerns often describe wanting their breasts to feel full and lifted again rather than simply larger. Before-and-after photos at the six-month mark from this procedure typically show restored volume, improved breast position, and a naturally shaped contour — with subfascial implant placement and GalaFLEX mesh reinforcement working together to support a result that is designed to last.

What is the difference between breast augmentation alone and augmentation with a lift?

Breast augmentation adds volume through implant placement, while a breast lift — or mastopexy — reshapes and repositions the breast tissue and nipple to a more youthful position. When volume loss and breast descent are both present, combining the two procedures addresses both concerns in a single surgery rather than requiring staged procedures.

What is subfascial implant placement?

Subfascial placement positions the implant beneath the fascia — the thin layer of connective tissue overlying the chest muscle — rather than beneath the muscle itself. This approach can offer a more natural range of motion compared to submuscular placement while still providing meaningful tissue coverage over the implant for a smooth, natural result.

What is GalaFLEX mesh and why is it used in a breast lift with augmentation?

GalaFLEX is a bioabsorbable surgical mesh used to internally reinforce and support the breast tissue following a lift with augmentation. It provides an internal scaffolding that helps maintain the lifted breast position and implant placement over time, reducing the effects of gravity and improving the longevity of the surgical result.

How long after breast augmentation with lift do final results show?

At six months post-op, swelling has fully resolved and implants have settled completely into their natural position. Final results at this stage reflect the true, lasting outcome of the procedure — including the full benefit of GalaFLEX mesh integration and the matured lift contour.

What is recovery like after breast augmentation with a lift?

Most patients return to light daily activity within 1–2 weeks. Strenuous activity and heavy lifting are restricted for 6–8 weeks to allow the lift repair and mesh reinforcement to fully stabilize. A supportive surgical bra is worn throughout early recovery, and patients are typically advised to avoid underwire bras for several weeks to protect the healing tissue and incision lines.

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