Can I achieve fullness in superior breast area with breast reduction and no internal bra or will I bottom out again?

Thanks for your question! I think that the technique or surgeon style is why you look "bottom heavy". Also, that will happen with time and babies. With dense breasts, you should get a nice result with your next surgery. Good luck!

It is possible to obtain upper pole fullness with a breast reduction. Unfortunately, gravity works against this and can limit the longevity of the procedure. The success can be enhanced with an internal bra.

While adding an internal bra to the procedure can help, it does not guarantee that the breasts will remain full at the top. Almost all breasts will bottom out eventually, but these materials can help the tissue remain tight for a longer period of time. As it is not absolutely necessary for a good result, I would forego it if the cost is felt to be excessive.

From the photos, the structure of the breasts do not have support and therefore are bottoming out(looking boxy). An internal bra can help create scar that can act like the support tissue to give you a perkier and longer lasting result. Large weight changes and pregnancy can cause bottoming out regardless. Timing of when do something may be after you are done having children.

Thank-you for your query. An internal Bra would be a good way of keeping the fullness in the superior part of the breast. There are other techniques of remodelling the breast tissue to achieve more superior pole fullness. Please find an experienced Board certified Plastic surgeon who can examine you and help you with your concerns. All the best!

Dear Dr Red Foxx,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

What you need is a good revision reduction to remove the lower, heavy breast tissue. There is no "internal bra" that will do the job . . . the skin will re-stretch and it will re-sag if there is still tissue. This will give you better shape and proportion. Thank you.

Unfortunately, you underwent a previous breast lift that was inadequate. The weight of your breast is causing the skin envelope to stretch inferiorly and laterally. The technique I recommend is The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scar 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.

The problem with breast reductions and lifts is that it is hard to obtain upper pole fullness unless there is an implant. I’ve not seen that internal bra is a solution to this problem

Thank you for your question. A lot of it depends on your first reduction and the pattern that was used either way it also depends on how small you would like to be. To maintain the upper pole perhaps doing a little bit of fat transfer will help. Hope that helps.