Is Internal Bra necessary?

Question

1.BA i think the dr made the pocket too big. 2.BA 600cc under muscle but im still afraid of bottoming out in the future. I heard internal bra can correct bottoming out, move implants closer together and higher on my chest wall, which will narrow the gap between the breasts. Will i benefit if i dont want my breasts to sag? whats the difference between doing internal bra and not doing it? Ill do 800cc soon since i want it bigger and perkier

Donald R. Revis Jr, MD · Answer

Good morning!Thank you for your question- and your goal photo is a patient of mine who had the Internal Bra and an implant exchange!As you know, bottoming out occurs when
 your pockets are too large and/or too wide for your implants, allowing them to slide too
 low on your chest and/or too far towards the sides. I correct this with the Internal Bra, my strong 
permanent internal suturing technique which corrects the bottoming out 
and provides excellent long term support for your implants. This will 
also help tuck in your crease scars back into the creases where they 
belong, which will make them much less visible.As in my patient whose results you like, I feel that with large implants the Internal Bra is an important component to provide good long term results and avoid future bottoming out.I have attached a link to my Internal Bra breast revision photo gallery for your review- hope it helps!

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  The internal bra can improve the bottoming out situation, but the look you want has larger implants which will eventually lead to the same condition.  With a history of bottoming out, think about it carefully before going bigger.  Remember, "the enemy of good is better."All the best,Dr. ResultsMiami, FL

David J. Wages, MD · Answer

The enemy of good is better.  That being said you have to reconcile your desires with what your tissues will allow.  No matter what type of "internal bra" (- be is artificial support or cadaver skin or suture material) is used to support excessively large implants, over time, mother nature will win.  One will have large sagging breasts.  Once tissue has been excessively stretched it is irreversibly changed and can not be made smaller or stronger, it becomes only weaker and thinner.  Any short term gains in perkier larger breasts(800cc) will ultimately result in sagging larger breasts.  What next?  Another surgery to attempt to lift these larger breasts, or even larger implants?  In the end one may end up having several surgeries and spending extra $$ to achieve that which is doomed to fail.  When considering surgery to achieve a larger perkier breast it is paramount to consult with a board certified plastic surgeon who specializes in breast and implant surgery and provides the needed truthful education of the reality of the risks, benefits, and trade-offs of choices for breast implant size and the anticipated outcomes.  Be cautious of the physician who will do what you want without giving you the full story of the consequences of your choices.   Best of luck to you.

Steven Wallach, MD · Answer

An internal bra can reflect any type of support used inside the pocket. This can be sutures, or products like ADM's or Seri to support the soft tissue.  This may help your bottoming out.

Tom J. Pousti, MD · Answer

The "internal bra" procedures referred to the use of sutures to adjust the breast implant pockets (capsulorrphy)  plus/minus the use of additional support material such as acellular dermal matrix or biosynthetic mesh. These procedures serve to raise the breast implants higher on a patient's chest wall, in the event that the breast implants are moving too far down or to the sides. If the nipple/areola complexes are off-center on the patient's breast mounds, the procedure may serve to improve the position of the nipple/areola complexes on each breast mound as well. Best to communicate your concerns/questions directly with your plastic surgeon, who hopefully has a significant experience helping patients with revisionary breast surgery. You may find the attached link helpful to you as you learn more. Best wishes.

Is Internal Bra necessary?

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