DR. EPSTEIN’S COMPREHENSIVE Breast Augmentation Guide

Anesthesia – General, Sedation or Local?

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The use of soft tissue support in breast lifts

Use of a Surgical Scaffold to Support the Lift

Breast tissue, like all living tissue, will stretch under the influence of gravity. In some of my patients, particularly the ones with the most compromised skin and breast tissue, I offer the option of using a surgical scaffold which is placed inside the breast to act as an “internal bra.” While this does add some time and cost to the surgical procedure, in these patients it is certainly worth this extra step to provide greater support to mitigate the effect of gravity and help ensure better, more long-lasting results to the lift. The particular product that I like to use for this is called GalaForm. This material is completely absorbable in about one to two years and is replaced with a new layer of scar tissue which continues to provide support for the breast. The safety and efficacy of this product is long established and I have a lot of experience using it.


The mesh is placed on the lower breast between the skin and the underlying breast tissue. The tabs allow the material to be easily sutured into place. The rim along its perimeter gives added support, much like the “underwire” in a bra. This video discusses the use of surgical scaffolds with breast lifts:

I do not recommend this for everyone, but when I do, it is because I am concerned about the longevity of the result of the breast lift. It is a wonderful option to offer to eligible women.

SECTIONS – Breast Lift/Mastopexy with Implants

Chapters – Breast Augmentation Guide

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