Will an internal bra help keep implants at the apex of the breast permanently?

The best way to create upper pole fullness is with a larger and more projecting implant. The downside is that these types of implants will have more impact on the skin and soft tissue. An excessively large implant will cause thinning and loss of support of the tissue. In addition, when placing the implant behind the muscle, the muscle will constantly push the implant downward. All of these factors can make the implants fall with time. Unfortunately, there is no guarantee of a permanent solution. Placing an internal bra or mesh aids in supporting the implant and controlling their location. The choice of internal bra is usually made by surgeon’s preference, balancing the quality of your soft tissues, desired implant size, their experience, and the added cost. Galaflex (from Galatea) is a very commonly utilized mesh that offers implant support with low complication rate.

Dear magicskymagic,
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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery