Will wearing underwire bra 24/7 allow scar tissue to form and lift breast fold to wear it was before it dropped?

Question

2 months post-op, 450 cc sub muscular silicone implants, left side dropping - breast fold lower than right side - both folds were even up until 1 week ago. Will wearing underwire bra 24/7 to pull up breast allow scar tissue to form and lift breast fold on left breast? hope this makes sense. What can I do non-surgically that will prevent further drop? Thank you.

Gary Lawton, MD, FACS · Answer

At two months, it is unlikely that wearing anything external will recreate the fold.  You should wear an underwire bra now, especially since you have just recently seen this change.  There is little to be lost by wearing an underwire.

George Volpe, MD · Answer

Although the chances are not high that it would work two months from the time of surgery, it is certainly worth trying and if your surgeon agrees. Discuss this with your surgeon as he or she may have other recommendations given your postoperative course, implant placement technique and your pre-existing anatomy. In most cases, it would not be harmful to wear an underwire two months following your surgery.

Jed H. Horowitz, MD, FACS · Answer

What is the best way to correct their breast fold after augmentationSupport of the fold for up toSix or eight weeks may be useful.You may try underwire bra with a cup removed. Tape placed in the fold pulled up can help define the fold. Dr. Dan Mills in Laguna Beach has also described using a shoestring

Frank J. Ferraro, MD · Answer

The implant placement and final result is something I discuss with my patients in detail prior to surgery. The final position of the implant is determined by the surgical procedure, size of implant and many other factors. I discuss with my patients what they need to do after surgery during the initial consultation. Some of which is to massage and wear the correct surgical bra. Thank you for the question hope this helps.

Jourdan Gottlieb, MD · Answer

Support may well keep this from getting worse, but at two months is not likely to correct the current problem. It will be better to discuss this with your surgeon in the office. Best wishes.

Benjamin Chu, MD, FACS · Answer

If one breast implant is falling faster than the other then using a properly fitted bra and strategically placed padding can help to prevent further descent.  I would not recommend using a push in or push up bra but a properly fitted wire bra can help.  The bra should not displace your current breasts.  I would then get a gel insert commonly called a "chicken cutlet" directly on the inner lower part of the bra.  If this is worn 24/7 the gradual pressure of the support will change the internal shape of the breast.  Also you should tighten the bra strap on the side which has fallen.  I know this works because I've seen constant external pressure on the breast will gradually change the shape of the internal space where the implants are.  I hope that helps.

Frederic H. Corbin, MD (license restricted) · Answer

Thank you for your question and I agree with Dr Chubbut unfortunately there is no guarantee that any non surgical solution will work but it is worth tryingDr Corbin

Brooke R. Seckel, MD, FACS (retired) · Answer

After two months it is unlikely that a scar tissue seal will re establish your inframammary crease. Please see your lastic surgeon for advice. If the fold is still too low after 6 months a simple revision should be possible.

Thomas M. DeWire Sr., MD (retired) · Answer

hikewsaki,Without photos and pre-op comparison it is difficult to answer this question in specific, but in general, folds will not raise after they stretch or after they have been lowered surgically, particularly if lower pole pectoralis muscle origins were cut, removing implant support.  For implants over the muscle, there is no support at all apart from the skin, and actually when the pectoralis muscles are cut, there really is no more support than with implants over the muscle, as the implants are then only partly submuscular.  You should seek the advice of your surgeon in this regard, as they are aware of what was done at the time of surgery and can then advise you what they would have you do to stabilize this, or repair this if needed. I hope that this helps.     Best wishes,     Tom DeWire, MD, FACS     Richmond, VA

Will wearing underwire bra 24/7 allow scar tissue to form and lift breast fold to wear it was before it dropped?

Answers (9)

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