When replacing implants is it common practice to use the capsule from the old implant as an internal bra?

Hello and thank you for your question.
Yes, it is possible to use the existing capsule without the addition of mesh. The decision to use mesh reinforcement depends on the quality of the capsule present. If you have implant malposition, this is often corrected with repair of the capsule using what's called a " capsulorraphy". This procedure involves suturing the capsule together to modify the implant pocket. If the capsule is very thin and wispy, there's a high likelihood that the repair will not hold over time. In these instances, I utilize a mesh like galaflex to provide additional support.. For best results, you should choose a plastic surgeon certified by the American Board of Plastic Surgery with extensive experience in revisional breast surgery. I hope this helps. Good luck.

Years ago, before ADM type mesh became available, surgeons routinely used the capsule to provide support to implants. Many of us will still use the capsule rather than a mesh if the capsule has the proper integrity.

Dear sparklejumpropekween,

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