Will an internal bra help my breast revision? Cost? (photos)

Question

Am attending consultations with my original ps and I am also getting some other ps opinions. So far I've even told I need a donut lift and internal bra. What is permanent suturing and how much does it cost? My initial BA was about 4,000$ (With a respected RealSelf doctor) but my quoted revision cost was 9,000$ from another well respected doctor. Why is it so much more expensive? Currently 450cc saline mod plus unders 2012 Wanting 650-700 hp saline unders

Tom J. Pousti, MD · Answer

The term “internal bra” is not a medical term;  is a term that is currently frequently used to describe procedures that provide support for breast implants. This support may include internal suture “repair” of the capsule (capsulorraphy), the use of acellular dermal matrix, the use of biosynthetic materials, or some combination of the above. These procedures are typically utilized for patients who are experiencing a breast implant displacement problem ( bottoming out or lateral displacement, for example). You may find the attached link, dedicated to revisionary breast surgery concerns, helpful to you as you learn more. Best wishes.

Gary M. Horndeski, MD · Answer

Your
450 cc saline implants are heavy and displaced inferiorly and laterally.Larger implants (650-700 cc) will displace further
and be more difficult to correct.I
recommend a new technique called Breast Augmentation with Mini Ultimate Breast
LiftTM.Using only a
circumareola incision it is possible to reshape your breast tissue creating
upper pole fullness, elevate them higher on the chest wall and more medial to
increase your cleavage.Your implant
needs to be plicated higher and more medial to correct the descent.Aligning the areola, breast tissue and
implant over the bony prominence of the chest wall maximizes anterior
projection with a minimal size implant.Small round textured silicone gel implants placed retro-pectoral look
and feel more natural, are more stable, less likely to ripple or have
complications needing revision.Best Wishes,Gary Horndeski, M.D.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

Thank you for your pictures. I think you're goal is realistic. I do believe that the internal bra using STRATTICE® would be helpful. You may or may not need a lift. An examination with determine that. The cost difference is because the cost of the internal bra material is very expensive so that is what this cost more than a standard breast augmentation.Earl Stephenson, Jr, MD, DDS, FACS

Richard Baxter, MD · Answer

In general revision surgery is much more complicated than breast augmentation so fees are often quite a bit higher. There is also the cost of new implants and the material used for the internal bra. ADM materials such as Strattice have been in use for a while and have proven success, but newer materials such as SERI Scaffold and GalaFLEX are less expensive. It looks like reaching your goal will involve larger implants but also positioning them higher and closer together. The internal bra will help to maintain that. However the nipple position will probably be too low and lateral after moving the implants higher and closer so the periareolar lift would address that.

Darryl J. Blinski, MD · Answer

Using ACDM cost $$$s plus revision surgery is always more involved than original operation. Thus the added expenses...

Will an internal bra help my breast revision? Cost? (photos)

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Answer: When to consider internal bra

Answer: When to consider internal bra

Answer: Will an internal bra help my breast revision? Cost?

Answer: Will an internal bra help my breast revision? Cost?

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Everything you need to know about Breast Implant Revision

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Will an internal bra help my breast revision? Cost? (photos)

Answers (9)

Answer: When to consider internal bra

Answer: When to consider internal bra

Answer: Will an internal bra help my breast revision? Cost?

Answer: Will an internal bra help my breast revision? Cost?

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.