Will I see any noticeable results from an internal bra?

Question

I've been struggling with my weight ever since I was a child and as a result my breasts sag to the point they rest on my stomach.I'm a size DD48.

Jed H. Horowitz, MD, FACS · Answer

Candidates for Breast Lift (#Mastopexy) surgery are women who have #saggingbreasts due to past pregnancies, genetics, or aging. Often times the sagging is too great to be treated by implants alone. Women with asymmetric or enlarged nipples or areolae (pigmented areas around nipples) also may be candidates for a breast lift or a modification of a lift. #Asymmetric breast can be adjusted by adding or removing volume. One side can be tightened more or less than another. A mastopexy or breast lift operation is designed to improve the shape and position of the breast without reducing their size. It is used for breasts which sag or droop (ptosis). Sagging of the breasts may occur with normal development for some women, or as part of the aging process. Pregnancy, breast-feeding and weight loss are other conditions which increase breast ptosis. Some patients will have a better shape to their breast such as increased superior fullness if an implant is used at the time of mastopexy. The procedure can also be combined with a minor breast reduction to reduce the breast width if desired. The surgery will create an elevated, more youthful breast contour. Also, the procedure will create nipple and areolae of the desired size and at the correct height.

There
are a number of mesh products: #Seri, #Belladerm , #Flexiderm, #Galaflex,
#Alloderm, #Tigr,#TiLoop, #Strattice, 
#ADM (acellular dermal matrix). These
are made by different companies and have different properties.  Alloderm is from cadaver skin that is
processed to provide a matrix that will be replaced by your own collagen. Seri
is a silk derivative. Galaflex is a type of dissolving mesh created from
glucose, or sugar and dissolves much like absorbable sutures. All
meshes have their own unique properties but can be used to help support a
sagging breast during a lift.

I prefer to use a #shortscar technique, #LollipopScar or #DonutLift” rather than the majority of surgeons in the United States that use an anchor pattern lift which involve more significant scarring. The best thing to do is to take all of these questions to your potential plastic surgeon in consultation to help determine what would bring your desired final results. Good luck.

Jaime S. Schwartz, MD, FACS · Answer

I appreciate your question.

I perform a liposuction breast lift that removes tissue from the areas you don't want such as near the armpit and the lower portion hanging near your stomach. Once I use this to shape the breast I then remove the skin to tighten the breast and create a better shape with nice cleavage. Since I perform this less invasively the recovery time is faster and drains are not necessary. The size would depend on the proportion with your body versus going for a cup size. It works very well if there are asymmetries. I can also use the removed fat as a natural breast augmentation by grafting the fat back into the breast to create more projection or into the top to create more cleavage. This procedure can also be combined with an implant if needed or wanted.  It should not affect nipple sensation, mammograms, cancer risk or breast-feeding. If you gain or lose weight, the transferred fat can do the same.

For health and safety reasons, best to be at a BMI less than 30 or within 10 pounds of your goal weight and stable at that weight for 6 months prior to surgery for optimal results.

The best way to assess and give true advice would be an in-person exam.  Please see a board-certified plastic surgeon that specializes in aesthetic plastic surgery.

Best of luck!

Dr. Schwartz

Board Certified Plastic Surgeon

#RealSelf100Surgeon

#RealSelfCORESurgeon

Kenneth Hughes, MD · Answer

Breast lift results will depend upon a great number of factors including the support that helps suspend the breast.

Gary M. Horndeski, MD · Answer

I understand you are struggling with your weight. As a 48DD, undergoing surgery with your BMI is risky. Please seek the help of a dietitian, weight loss clinic, or your primary care physician before moving forward with your breast lift. An internal bra has been described to mean many things. However, in The Horndeski Method/Bellesoma Method it is a proprietary technique that uses your own tissues to anchor, shape, and lift your breasts higher on your chest to achiever upper pole fullness and actually raise the entire breast footprint (unlike most lifting techniques). THM does not use any type of foreign material that might cause complications. This technique was developed to achieve maximum lift without a vertical scar and without implants. I have attached an example of what this technique can achieve. Best wishes,

Christopher V. Pelletiere, MD · Answer

An internal bra is a technique to help stabilize and raise, if necessary, an implant internally.  That does not address the breast itself.  If your breasts are saggy already, then a formal external lift ( mastopexy) is what would be needed.  The external lift allows you to raise and reshape the breast tissue and skin as needed.  I recommend going for a few consultations with board certified plastic surgeons and see what will work best for you.  I hope this helps.

Dhaval M. Patel, MD · Answer

thank you for your question. It sounds like you need a breast lift to address your concerns. It's best to have a thorough in person consultation with a board-certified plastic surgeon in your area. Best of luck!

Dr. Dhaval M.PatelDouble Board Certified Plastic SurgeonChicago-Water Tower Place, Oakbrook, Hoffman Estates, South Barrington

Karol A. Gutowski, MD, FACS · Answer

An internal bra is just a technique used in breast lifts and breast reductions. It has not been proven to be any better than standard techniques.

Moneer Jaibaji, MD · Answer

From your question it seems that you need a breast reduction. I think you should consult with your local plastic surgeon to determine the best surgical option for you. Internal bra is used mainly for patients who had breast augmentation and have saggy breast.

Steven Wallach, MD · Answer

If your breasts are very saggy then it sounds like you need a formal lift and maybe a reduction.....

David Finkle, MD · Answer

You may be a candidate for a breast reduction procedure that will lift the breasts and reduce the size.  Some health insurance carriers will cover this procedure if you are symptomatic; shoulder pain, back pain, neck pain, painful grooves in the shoulders from the bra straps, frequent headaches, rashes and infections under and in between the breasts, difficulty with exercise, difficulty finding clothes to wear, teasing, numbness in the hands and fingers, etc.Please see a Board Certified Plastic Surgeon who performs breast reduction procedures to assure the best possible result.Good Luck!

Will I see any noticeable results from an internal bra?

Answers (11)

More Breast Lift Questions

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Answers (11)

More Breast Lift Questions

Always had uneven breasts - born with scoliosis - how do I fix this? (photo)

I've got grade 1 ptosis. What type of Breast Lift would you recommend? How much lift can you get with a doughnut lift in cm?

How long do I need to wear a surgical bra after a breast lift without implants? When can I start shopping for new bras?

My breast are oddly shaped and my scar is bad? Is a revision worth it? Can this be fixed? (Photos)

How long after mastopexy do the steri strips stay in place?

Wound separation after Breast lift? (Photo)

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