Breast lift with or without internal mesh for sagging - which gives better support?

If you are removing the implants and doing a lift, you likely do not need an internal mesh. This adds to the cost of the procedure significantly and it is doubtful it has any long term improvement on recurrent ptosis.

Inserting an internal mesh, such as Galaflex, will create a longer lasting breast lift result. This mesh is made from poly-4-hydroxybutyrate (a naturally occurring biopolymer), which is used safely in the breast as a resorbable porous scaffold. The internal mesh is inserted in the inferior pole (bottom of the breast) and over time is absorbed by the body. As the internal mesh is absorbed, the body deposits scar tissue in the pattern of the mesh, resulting in a permanent internal bra. Using the internal mesh will help structurally support the breasts and maintain a better result by working against time and gravity.

The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained if not injured during your previous surgery.

Best Wishes,

Gary Horndeski, M.D.

Hello @LizbethP thank you for your question. We can develop a surgical plan that takes into account all aspects of the morphology of your breasts in order to obtain the best results in both shape and volume without the use of implants. For more information and recommendations is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS

Dear LizbethP,
my preferred lift is a lollipop lift when a periareolar won't do (ie greater than 2cm lift required). The lollipop technique was created by a Canadian plastic surgeon named Elizabeth Hall-Findley and treats the breast as a three dimensional structure instead of two dimensions (anchor - lift). Most importantly it does not require the horizontal component scars that the anchor-lift requires and breasts appear much more natural, lifted, and less boxy. Lastly, the lift lasts longer because the lollipop doesn't rely on the skin to hold the breast up, its actually breast tissue thats being brought together to support the breast and hence improves longevity. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The decision to use internal mesh (also known as an internal bra or surgical mesh) during a breast lift procedure depends on various factors, including the degree of breast sagging (ptosis), the quality of the breast tissue and skin, and the plastic surgeon's preference and expertise. Both techniques have their advantages and considerations:
1. Breast Lift Without Internal Mesh:
• Traditional breast lift techniques involve reshaping the breast tissue and removing excess skin to lift and firm the breasts.
• This approach relies on the natural support structures of the breast, including the skin, ligaments, and remaining breast tissue, to maintain the lifted position.
• It may be suitable for individuals with mild to moderate ptosis and sufficient breast tissue density to achieve good support and longevity of results without the need for additional reinforcement.
2. Breast Lift With Internal Mesh:
• Internal mesh is a synthetic material that can be used to provide additional support and stability to the breast tissue during a lift procedure.
• Mesh can help reinforce weakened or stretched tissues, particularly in cases of significant ptosis or breast asymmetry.
• It can enhance the longevity of results by reducing the risk of recurrent sagging over time.
• However, the use of mesh may also carry potential risks, including increased risk of infection, tissue reaction, or extrusion (the mesh protruding through the skin).
Ultimately, the decision to use internal mesh during a breast lift is individualized and should be made in consultation with a board-certified plastic surgeon who can assess your specific needs and goals. They will evaluate factors such as the degree of sagging, tissue quality, and potential risks and benefits to determine the most appropriate surgical approach for you.
It's important to choose a skilled and experienced plastic surgeon who can discuss the available options and help you make an informed decision based on your unique circumstances. They can also provide guidance on post-operative care and monitoring to optimize the outcome of your breast lift procedure, whether with or without internal mesh.

Using internal mesh is not my first choice for first time surgeries because it is usually not needed and does add to the cost and risks. However, in reconstructive cases where breast tissue has been removed, it is very helpful, especially the dermal grafts.