Breast lift with an „inner bra“.

When I see patients after a Breast lift or Breast reduction When I explain what patients can expect in the long term, sooner or later the same question always comes up: How long will the results last? The honest answer is: It depends on many factors—the tissue, skin quality, body weight, and gravity. However, it’s a question I can answer with more confidence than before, ever since I started using GalaFLEX® at my clinic.

What is GalaFLEX?

GalaFLEX® is a bioresorbable tissue mesh that I use after breast surgeries such as breast lifts, breast reductions, or Breast augmentation to stabilize and support breast tissue. It consists of poly-4-hydroxybutanoic acid—P4HB for short—a biocompatible polymer that the human body recognizes and can process.

What makes this material so special is that it does not remain in the body permanently. Within 18 to 24 months, the body completely breaks down the mesh—naturally, into carbon dioxide and water. What remains is not a foreign body, but the body’s own collagen and connective tissue that has been regenerated by the GalaFLEX scaffold. According to preclinical data, this tissue is up to 3–4 times more resilient than the original tissue prior to surgery.

The Inner Bra—What's the Story??

The term „internal bra“ describes exactly what the GalaFLEX mesh does: During the healing phase, it provides the support that a bra normally provides from the outside—but from the inside, directly within the tissue. The mesh is placed in the lower chest area, exactly where gravity exerts the greatest long-term strain on the tissue.

While the body gradually breaks down the mesh, P4HB simultaneously stimulates the formation of new, stable connective tissue. The breast is supported by the body’s own tissue—not by a permanent implant. The result remains stable for significantly longer than without this support, and the risk of the breast sagging again is reduced.

When should I use GalaFLEX?

GalaFLEX® isn't necessary for every breast surgery—but in certain situations, it makes all the difference. I use it in cases of significant sagging following pregnancy or significant weight loss, when connective tissue is weak and requires additional support, for particularly large or heavy breasts, and in revision surgeries when a previous procedure has not remained stable over the long term.

What are the benefits of GalaFLEX?

• Completely bioresorbable—no permanent foreign body remains in the body
• Tolerance: Since P4HB is a substance similar to those found in the body, rejection reactions are not expected
• Antibacterial: P4HB has antibacterial properties and can further reduce the risk of infection
• No change in the sensation or mobility of the breast
• Over 4 million applications worldwide, with excellent tolerability
• Well-documented by scientific evidence: Several prospective clinical studies confirm its effectiveness in reducing ptosis recurrence following a breast lift

Postoperative Care – No Difference from Standard Surgery

A common misconception: Many patients think that using a mesh makes postoperative care more complicated. That is not the case. Postoperative care following breast surgery with GalaFLEX® is no different from surgery without the mesh—no need to wear a compression bra for longer, no additional follow-up appointments, and no special restrictions.

If you'd like to know whether GalaFLEX® is a good option for your planned breast surgery, we'll discuss it together during your consultation.

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