Would an internal bra help me achieve better results? (Photo)

Question

I did some googling and still not sure why this lady's doctor did an internal bra (she got amazing results as you can see) I'm wondering if it would be something that would help me attach better results? I'm wanting to go from an A to D or DD cup *Im the last 3 photos*

Michal Brichacek, MD · Answer

There are several indications for an internal bra. In general, I find that it's more of a preventative device to reduce future problems.
An internal bra is almost always indicated in patients who have had significant weight loss, and who are now desiring breast implants. An internal bra is also a great option in someone with significant stretch marks and poor quality skin. In both of these cases, the internal bra will better support the implant and prevent it from dropping down.
Another indication for an internal bra is to reduce the risk of capsular contracture. In some cases, it is done during a revision surgery in someone who has had issues with capsular contracture from previous implants. Other patients may never have had implants, but just want to decrease their future risk as much as possible and will elect to do an internal bra for that reason.

William Andrade, MD · Answer

Hello, every surgeon will have a unique perspective on internal bras (like sutures or slings).  In my experience they are not typically required, as I make a precise pocket that holds the implant where I want it.  Occasionally I will reinforce the pocket if the natural tissues don't seem to have enough strength.  Every additional procedure done at the time of surgery has possible risks (for example, the additional sutures could cause bleeding, nerve injury or tissue puckering) so these factors need to be weighed against the possible advantages of an internal bra.

Mathew A. Plant, MD, FRCSC · Answer

Great question. I perform an internal bra on every single breast procedure because it helps secure the crease and prevent bottoming out over time. It also allows lengthening of the torso to give a longer/leaner look and allows precise positioning of the fold if there are any asymmetries.

Gary M. Horndeski, MD · Answer

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 scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Steve Laverson, MD, FACS · Answer

YES, the post op photo with the "internal bra" you show looks spectacular, but the photo was likely before her skin further stretched following her augmentation, before the mammary glandular tissue and skin thinned in response to pressure from the implant, and before the implants settled into their final position and shape, which occurs over one year following breast augmentation.  She's very lean and thin with little breast tissue.  Judging from loose wrinkled skin above her belly button, the above changes are expected to occur, so predicting that, her surgeon perhaps added some measure of internal support.  However, the "internal bra" can have many meanings.  It can be absorbable mesh (e.g. Galatea P4HB), acellular dermal matrix (e.g. Strattice, Alloderm, Integra), autogenous (internal muscle, dermal, capsular, or connective tissue flap), or perhaps another alternative.  It's unlikely that the "internal bra," whatever it is, changed or affected her aesthetic result, however, it may preserve or enhance her long term result by preventing excessive tissue thinning and implant settling that invariably occur when a large implant is placed into a thin body with minimal breast tissue and inelastic or pre-existing thin skin.  Whether or not her situation is similar to your situation should be discussed at your consultation.

Daniel Barrett, MD · Answer

Dear Considerate782592,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

Each patient is different as is each doctor. Internal bra is only occasionally needed. In my opinion the patient you show would have gotten a similar result without an internal bra.

Zoran Potparic, MD · Answer

You seem to be very streight forward candidate for breast augmentation with implants. Considering that you do not have significant volume of breast tissue, I see no reason for any support like internal bra. This is always best to discuss with your surgeon. Good luck.

Camille Cash, MD · Answer

Sometimes bioabsorbable mesh is used during surgery to give support to the tissues from a breast augmentation.  This is particularly helpful when a patient has thin skin, very little breast tissue, or is considering large implants.  Your surgeon will review your situation to determine if it is recommended for you.  I've included a video I hope you find helpful.