BEFORE & AFTER Patient 170: Breast Augmentation with Asymmetry Correction & GalaFLEX
*Keep in mind that each patient is unique and your results may vary.

Before & After
A 39-year-old female patient presented with concerns regarding breast symmetry, volume, and overall contour. After a thorough consultation and evaluation, the patient elected to undergo breast augmentation at Crantford Costa Plastic Surgery in Charleston, South Carolina. Dr. Crantford placed Motiva RSD implants in a submuscular position, a 360cc implant in the left breast, and a 380cc implant in the right breast to optimize symmetry and contour. GalaFLEX Lite was incorporated to provide additional soft tissue support and improve long-term implant stabilization.
Achieving natural-looking symmetry in breast augmentation often requires a nuanced approach and the use of two different implant sizes is one of the most precise tools available for patients with natural size or positional differences between breasts. In this case, the 20cc differential between sides reflects the level of individualization Dr. Crantford applies to every augmentation at his Charleston, SC, practice. The addition of GalaFLEX Lite provides an internal scaffolding that supports long-term implant positioning, reducing the risk of inferior migration and helping to maintain the shape of the result over time.
Can breast augmentation correct breast asymmetry?
Yes. Using different implant sizes in each breast is a common and effective approach to improving natural size differences. The degree of correction depends on the nature and extent of the asymmetry — some differences in breast shape, chest wall contour, or nipple position may not be fully correctable with implants alone and may benefit from additional techniques. Dr. Crantford discusses realistic expectations for each patient during the consultation.
What is GalaFLEX Lite, and why is it used in breast augmentation?
GalaFLEX Lite is a bioabsorbable scaffold made from poly-4-hydroxybutyrate (P4HB) that is placed internally during surgery to reinforce soft tissue. Over time, the body gradually absorbs the material while generating its own collagen framework in its place — providing lasting structural support. In breast augmentation, GalaFLEX Lite is used to support implant positioning, reduce the risk of inferior migration, and improve long-term shape maintenance, particularly in patients with less existing tissue.
Does using GalaFLEX Lite affect recovery?
For most patients, the addition of GalaFLEX Lite does not significantly change recovery compared to standard augmentation. Some patients may experience slightly more initial firmness in the area of placement, which resolves as swelling decreases and the scaffold integrates with surrounding tissue. Recovery timelines and restrictions remain largely the same.
