Can any one please explain benefits/disadvantages to this internal bra method?

Question

I initially posted this question but didn’t specify that I meant internal bra and not the outer bra worn post breast augmentation. One doctor I consulted with said he does internal bra stitches with slow dissolve stitches that last up to 10 years with all his breast augmentations. I guess this is supposed to help with keeping them in place/preventing bottoming out or something along those lines. I didn’t fully understand.

Tom J. Pousti, MD · Answer

Thank you for the good question. Semantics can be confusing; for example, the "internal bra" terminology has been used differently by different surgeons.  In our practice, the "internal bra" refers to maneuvers utilized ( generally during revisionary breast augmentation surgery) to better support the breast implants in appropriate position.  These maneuvers may include adjustment of the breast capsules (capsulorraphy)  and/or the use of acellular matrix or  biosynthetic mesh.  The "internal bra" can be especially helpful when patients are experiencing breast implant displacement problems (such as bottoming out or lateral displacement).   
My best advice: select your plastic surgeon carefully. This will be a much more informed decision compared to exactly what type of "material" is used (if any) during the revision breast operation. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your concerns and goals carefully, as well. Working together you will come up with a good plan to achieve your goals.  
 
 I hope this helps. Best wishes.

Eugene Kim, MD · Answer

Internal bra is not needed for primary augmentation.  Stitches placed in the muscle and fat will not hold and therefore not effective.  In revisions, internal sutures can be placed  because there is capsule to sew to.  If a breast augmentation is done well, an internal bra is not needed to get good long term results.

Martin Jugenburg, MD · Answer

Thank you for your question. Please speak with your surgeon for rationale as he/she knows your case best. Regards,

Gerald Minniti, MD, FACS · Answer

Hello, An internal bra combines suture plication of the capsule with absorbable mesh or biological sheeting, to more reliably reposition the implants into their proper position.

Richard Baxter, MD · Answer

Internal sutures to reshape the pocket for an implant is called a capsulorrhaphy, and it is only as strong as the scar capsule. It doesn't matter what type of stitches are used if the capsule is too thin or weak. An internal bra is the addition of a layer of support, most often with Galaflex mesh or an ADM such as Strattice.

Can any one please explain benefits/disadvantages to this internal bra method?

Answers (9)

Answer: Internal Bra is more than a Capsulorrhaphy

Answer: Internal Bra is more than a Capsulorrhaphy

Answer: Internal sutures are not the same as an internal bra

Answer: Internal sutures are not the same as an internal bra

Recommended reading

Everything you need to know about Breast Augmentation

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

Can any one please explain benefits/disadvantages to this internal bra method?

Answers (9)

Answer: Internal Bra is more than a Capsulorrhaphy

Answer: Internal Bra is more than a Capsulorrhaphy

Answer: Internal sutures are not the same as an internal bra

Answer: Internal sutures are not the same as an internal bra

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

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