Would I be a good candidate for internal bra? (Photo)

Hello and thank you for your question. Your implants have bottomed out. You will benefit from a breast lift and likely down-sizing the implants. At times, an internal mesh is needed for reinforcing the pocket, in patients with attenuated breast tissue. I would seek consultation with a board-certified plastic surgeon for a full evaluation and advice. Best,
Pejman Aflaki, M.D.                                            
Johns Hopkins-trained double board-certified plastic surgeon

With other surgeons and professors at Harvard, I wrote the chapter on breast augmentation revision with Strattice and other materials and techniques in Annals of Plastic Surgery.  However, I certainly do not use it in every revision.  I use it in probably 1 out of every 20 revisions for very specific indications in which there is an intrinsic laxity of tissues and poor local tissue support.  This will largely be a function of the indication for the usage of Strattice.  If it is used in recurrent capsular contracture, the concern would be different than if it were used to help in pocket reconstruction or prevention of bottoming out. Check with your PS to determine which would be better for your revision.

Dear treluvu1,
many women seek improved cleavage. Narrowing the cleavage plane can be done very carefully by a skilled surgeon. Moving the implants too far medially can result in synmastia or unaboob which is very difficult to correct. That being said, the right amount of pocket dissection and implant selection can create excellent cleavage. 
If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD

It appears your implants have bottomed out.  Your breasts are low on the chest wall and you have very wide separation.  At this time, I recommend 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.Best Wishes,Gary Horndeski, M.D.

Hello and thank you for your question.  The best advice you can receive is from an in-person consultation.  Based on your photograph, your implants have likely bottomed out.  This can be fixed with placement of a galaflex mesh (internal bra).  This decision should be based on a detailed discussion with equal input from both you and your surgeon.   Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results. 

Best wishes and good luck.


Richard G. Reish, M.D.  FACS

Harvard-trained plastic surgeon
 

Yes, an internal bra with mesh cold be very helpful since you have bottomed out from the weight of the implants. Also, your lateral pockets can be tightened as well to give more medial fullness.

You can see in your pictures that you have "bottomed out" your implants and they've settled very low. The lower skin needs to be shortened to re-establish the normal length and position of the nipple. Correcting that would make your shape better. To do that reliably, you need to reinforce the tissues with some kind of mesh like Gala-flex (an absorbable mesh used to support the tissue) so it doesn't recurr.

Thank you for your question and for providing the photoIt is not possible to move the breasts closer together - they are where they are. I point out to my patients the distance between their breasts before they have implants placed, because the distance will, in all likelihood, be similar after the implants are placed. You can create a cleavage with a bra however.I hope this helps

From the photos it looks like you have bottomed out - ie the implants are sitting too low on your chest wall. I would repair the capsule with an internal bra of galaflex to support the repair