Can I have an "Internal Bra" procedure done with large implants? (Photo)

During breast implant surgery a pocket is created carefully to maintain certain folds on the sides and bottom of the breast. At times, the space for the breast implant becomes too large on the side of the chest or the tissue stretches and the implants fall too much to the side. This is most easily seen when the patient is lying on her back. On rare occasion, the implants can move towards the patient’s #armpit.
Treatment to address this generally requires closing the space.  That procedure is called a #capsulorrhaphy. In this case, the capsule is closed off internally much as we do when we are trying to raise the breast fold. The capsule is then closed with sutures and Acellular Dermis Matrix (#ADM) or other soft tissue substitutes may be used to further support this correction. Perhaps, the ADM may be what you are referring to when inquiring about #internal #bra.
Nevertheless, the technique really depends on the goal or #results you are trying to achieve. This should be discussed in more detail with your plastic surgeon to better plan your revision strategy. Such will determine not only the outcomes, but if a #mesh or #internal #bra should be incorporated. 
 Any #revision has risks of unhappy outcome or other complications. Also, the right implant for the revision is contingent on shape of body and your desired outcome. Typically, it's best to wait 6 to 12 months depending on the reason for #revision.  Matters such as sagging, drooping  and size change will not improve with time. As with all cosmetic surgery, results will be rewarding if expectations are realistic.

A capsulorrhaphy alone may not give your implants enough support to prevent further sagging.  A dermal graft such as Strattice may be necessary to help provide a "hammock type sling" or "internal bra" for additional support.  Going down in size also helps to lessen your risks of recurrent sagging.
I hope this was helpful.

Thank you for your picture and questions. I think what you need depends on your goals. If you want to remain the same size, then you could keep your current implants and do a repair of the pocket, either with sutures or mesh. The mesh just adds strength to the repair and prevents recurrence. If you want to go to a smaller size, then you can downsize the implant and revise both pockets. The second doctor is likely concerned about the recurrence with just a suture repair and this is understandable with larger implants. There are no guarantees, even with a mesh repair, that this problem will not come back. But what is right for you all depends on what your goals and objectives are and how much risk you are willing to take. Hope this helps! Best of luck!