Will internal bra help with slightly pigeon chest to keep implants not moving to the sides?

Question

Will the internal bra help to keep the implants not moving to the side, would you recommend this to patients to have slightly pigeon chest?

Semih Yildiz, MD, FEBOPRAS · Answer

An internal bra can help support the lower or outer implant pocket in selected patients, especially in revision cases, weak tissues, or when implants have already drifted too far to the side. However, it does not correct the underlying chest wall shape. With a slightly pigeon chest or pectus carinatum tendency, the chest wall itself can push the implant direction and affect cleavage and side position.

For a first-time augmentation, the most important factors are careful implant width selection, pocket dissection, fold control, and choosing a size that your tissues can support. Internal bra material may be useful if the surgeon feels your tissue support is weak or the lateral pocket needs reinforcement, but it is not necessary for everyone. An in-person exam is needed to judge whether your anatomy needs reinforcement or simply precise implant and pocket planning.

Nelson Castillo, MD · Answer

Thank you for sharing your question.  In most cases of a primary augmentation mesh is not needed to achieve a pleasing result, even with a subtle pigeon chest. Hope this helps.

Daniel Barrett, MD · Answer

Dear watmoetje,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

If needed, an internal bra with mesh can be used to minimize movement of implants for a better position.

Jason Pozner, MD · Answer

Galaflex mesh used as an internal bra will provide support to prevent some lateralization of the implants. make sure you go to someone experienced

Darryl J. Blinski, MD · Answer

No posted photos?? Best to virtual or in person examination. Yes an internal ACD matrix/mesh could help from implants moving to sides. As for "pigeon chest deformity" might offer microfat grafting to minimize the appearance. Expect fees in $10,000+ ranges.

Will internal bra help with slightly pigeon chest to keep implants not moving to the sides?

Answers (6)

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