Who is the Most Experienced Plastic Surgeon Who Specializes in Breast Augmentation Exchange and Mesh Inner Bra Placement?

I need to know who is the best breast implant revision specialist is who is excellent with mesh slings in the US. I know that this is an art and that being said I want to know who knows the breast like the back of their hand.I need someone who understands what a natural look and feel is.I need someone who will insert the mesh to support the implant in a way you couldn't even tell it was there.Can anyone tell me who is this doctor I so desperately want to meet?

Doctor Answers 9

Revision Breast Implant with Internal Mesh "Bra"

Thank you for your question. Using Acellular Dermis Mesh for Breast Implant Revision is a widely practiced technique performed by many Board Certified Plastic Surgeons. If you want the originators and most experienced doctors you should consult Dr. Pat Maxwell or Dr. Scott Spear. However this procedure is now so common that most experienced breast augmentation revision surgeons are excellent at this technique.

How to find the most experienced plastic surgeon for Implant exchange

 Here are some helpful hints in finding a competent and ethical plastic surgeon. Below would be my criteria for finding the Best Plastic Surgeon for your Bottomed -out Breast complications:
• Verify Board Certification by American Board of Plastic Surgery (do this online)
• Member of American Society of Plastic Surgery (requirements beyond Board Certification)
Member of American Society of Aesthetic Plastic Surgery (indicates extensive experience in aesthetic surgery - see below link)
• Look at online review sites - like RealSelf, Health Grades,RateMDs, Google, etc
• Look at Before and After photos
What is my instinct or "gut reaction" as to who I relate to better, answers my questions more fully and who I basically trust the most.
• Finally ask yourself - if I was to have a complication, who would be the best to take care of me

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Breast specialists with acellular dermis.

There are several excellent plastic surgeons who specialize in acellular dermis placement in the breast. Most notably would be Dr. Scott Spear in Washington, DC, Dr. Pat Maxwell in Nashville, and Dr. Steven Teitelbaum in Santa Monica California.

David Bogue, MD
Boca Raton Plastic Surgeon
5.0 out of 5 stars 25 reviews

Internal Slings fir Soft Tissue Failure

Pat Maxwell speaks at many of our national meetings On revision breast implant surgry using internal support. He has a very large experience with this technique. These strategies are often used when the overlying breast soft tissue has failed to support or cover the implant. New strategies are emerging in revision breast surgery that complement implants and will help improve the implant results. Best Regards Dr Del Vecchio bostonbreastcenter

Daniel Del Vecchio, MD
Boston Plastic Surgeon
4.5 out of 5 stars 180 reviews

Several plastic surgeons have experience with internal bra

In the U.S., the only materials used for an internal bra are acellular dermal matrix products such as Alloderm and Strattice. There are several surgeons who have experience using it. I have been using these materials for breast revision surgery for 12 years. Dr. Maxwell in Nashville has done a lot, Dr. Spear in D.C. has also done a lot. A good place to go is the website for Strattice, which has a referral page.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 53 reviews

Who is the Most Experienced Plastic Surgeon Who Specializes in Breast Augmentation Exchange and Mesh Inner Bra Placement?

I am sorry about the complication you have experienced.

Most patients who undergo this type of revisionary breast surgery benefit from capsulorraphy (internal suture repair). This procedure serves to reconstruct the lower poles of the breasts and prevent migration of the breast implants too far inferiorly. Associated issues with positioning of nipple/areola complexes should improve with this operation. In my practice, I use a 2 layered suture repair, supporting the involved area. I do not find the use of acellular dermal matrix or mesh necessary for the majority of patients who present with breast implant displacement problems. Factors such as recurrence of breast implant displacement/malposition and the presence of poor quality skin/tissue support come into play when making a decision to recommend/utilize additional support materials.

Generally speaking, the use of acellular dermal matrix or bio synthetic mesh for patients in your situation may be helpful occasionally. This material may be helpful as a supportive matrix and help with the breast implant displacement/malposition you are experiencing. Again, I usually recommend their use depending on the patient's anatomy ( for example quality/elasticity of the involved skin) and past surgical history.

I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.
Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. Ask to SEE lots of examples of their work AND preferably speak/see patients who have had similar procedures done.

You may find the attached link, dedicated to revisionary breast surgery (demonstrating many cases of corrective surgery for patients with "bottoming out" of breast implants) helpful to you as you learn more. You will find a separate page, on the same website, dedicated to bottoming out situations specifically.
Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,499 reviews

A Procedure I Specialize in at my Practice in Dallas

I have been using the "Internal Bra" for many years and have had much success with it.  It has successfully solved many women's issues with bottoming out, asymmetry, and other complications that many women have sought relief for, but have not been able to find.  The material I prefer to use, Strattice, is very difficult to work with, and it does require a specialized technique that I have perfected, so a large portion of my surgeries are actually this procedure, and women have come from all over the U.S. to have it done.  

David M. Godat, MD
Dallas Plastic Surgeon
4.5 out of 5 stars 17 reviews

Who is the Most Experienced Plastic Surgeon Who Specializes in Breast Augmentation Exchange and Mesh Inner Bra Placement?

Since you are in Florida, I recommend Dr Jason Pozner in Boca area, as a very experienced ACD matrix user. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 174 reviews

Breast augmentation revision specialist

Many plastic surgeons perform breast implant exchange. Augmentation and liposuction are the two most popular surgical procedures in the United States, from a cosmetic standpoint so you should be able to find a multitude of surgeons in your area who are experienced in this procedure.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.