Will I benefit from an internal bra? (photos)

Question

I discussed the possibility of the capsule maybe needing to be tightened but my surgeon said that the only way to fix this and to put my implants where they need to be is to have a full on maxoplexy and I want to avoid the inverted T scar if possible. How can I get my implants to sit where they are supposed to be? I’m considering just taking out the implants altogether and doing fat grafting.

Gary M. Horndeski, MD · Answer

Your implants are too much of a load for your body to maintain.  The technique I recommend is explantation and lift using The Bellesoma Method.  The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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, if not injured during your previous surgery.  Later, fat transfers can be performed if additional volume is desired.  Implants are not lifetime devices.  8% fail within the first year and 30% fail within six years.  Fat transfers are permanent and incorporated into the body.

Best Wishes,

Gary Horndeski, M.D.

Donald R. Revis Jr, MD · Answer

Good morning!
You do have some bottoming out, and I correct this with the Original Internal Bra, my strong permanent internal suturing technique, which corrects your bottoming out, and lifts and supports your implants over the long term. I first developed this technique 20 years ago, and today it is the most common revision I perform, 5-6 times a week- it works and it lasts. Because of your nipple position and large areolas I would also recommend a donut mastopexy to lift your nipples, tighten your skin, and reduce your areolas- but this is a minimal scarring approach and does not give you the vertical scar that so many patients wish to avoid!

Gerald Minniti, MD, FACS · Answer

Your photos show implant drop out compounded with stretched out and thinned soft tissue. You do need an capsulorrhaphy/internal bra to support your implant (and using a breast lift to do that would essentially be a 'skin bra', and you would see re-expansion, stretch, and recurrent malposition/drop out very quickly). However, if you only reposition your implants, your breast tissue will sag even further below the implant, forming a 'waterfall deformity'. This is why you also need a lift. Work needs to be done both internally to the pocket/implant system, and externally to the soft tissue envelope.

Richard Baxter, MD · Answer

Your surgeon is giving you good advice. The internal bra will add support to the implants that the thin tissue envelope of your breasts cannot. The other issue is that your nipple position is too low and the only way to correct that is with a lift.

Daniel Barrett, MD · Answer

Dear Magical909608,
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

Will I benefit from an internal bra? (photos)

Answers (6)

Answer: When to consider an internal bra and breast lift

Answer: When to consider an internal bra and breast lift

Answer: Revision surgery

Answer: Revision surgery

Recommended reading

Everything you need to know about Breast Implant Revision

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Will I benefit from an internal bra? (photos)

Answers (6)

Answer: When to consider an internal bra and breast lift

Answer: When to consider an internal bra and breast lift

Answer: Revision surgery

Answer: Revision surgery

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.