Will I need an internal bra to prevent implants from bottoming out?

Bioabsorbable mesh is sometimes recommended for patients having breast augmentation. It is helpful in giving support to the tissues to prevent future issues. The main candidates for this are those with thin tissue, those with very little breast tissue, and those considering larger implants. Without examining you it's difficult to say if it would be recommended for you. I've included a video on bioabsorbable mesh that I hope you find helpful.

Dear Awesome373017,
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

For primary augmentations with a modest size implant (200-300cc range) an internal bra is generally not necessary. Of course, it is impossible to say for certain without a full examination of your tissues. If you have extremely lax tissues, an internal bra would give added support to prevent bottoming out. I would suggest weighing the pros and cons of each option: extra time/cost of internal bra vs. decreased risk of bottoming out. Gather opinions for board certified plastic surgeons with whom you are able to consult in person. Typically, each surgeon will have their own way or style of approaching a patient, but there will likely be some general consensus overall.