Can I get an internal bra if I don't have implants?

An internal bra is now very widely used on mastopexy (breast lift) cases with and without breast augmentation in America. I now use Galaflex mesh to support nearly ALL of my breast lift AND breast reduction cases. The mesh is very easily placed as the final step of the procedure after the appropriate skin and breast tissue is removed. Galaflex mesh incorporates into the soft tissues within a matter of weeks, the patient cannot see or feel it, and it has a very low chance of getting infected. Many of us aesthetic breast surgeons have found that, by placing this internal bra (mesh support), we have significantly increased the longevity of our breast lift procedures. We have documented this by measuring the nipple to inframammary fold distances in our patients at various post-operative intervals with the aid of 3-dimensional computer imaging.
I hope this information was helpful and good luck.
Very truly yours,
Rudolf Thompson, MD, FACS

Thank you very much for your question, as it is a
common one. An internal bra can be placed during a mastopexy (breast lift) to
reinforce the breast tissue. An acellular dermal matrix can be placed with or
without implants. However, the use of an internal bra after only a mastopexy
will depend on the operating surgeon’s protocols and the individual patient’s
unique needs. I suggest scheduling an in-person examination with a board certified plastic surgeon, who can then fully
explain whether or not an internal bra is necessary for successful results in
your situation.    

Thank you for your question.Internal bra commonly refers to ADM - acellular dermal matrix - which is often used to support a bottoming down of an implant.  But it can be used to remodeled the gland after a breast lift, as others(especially in Brazil) have used synthetic and dissolving mesh to shape and secure the glands.  One can also "craft" a "bra" from the dermis that get excised in breast reduction and breast lift - as marketed as "Laser-assisted Internal Fabrication Technique" in California.Hoped this answers your question!Kind regards,Dr. Marc DuPere, aesthetic plastic surgeon