Autologous Internal Bra Mastopexy

9-month post-op update — Autologous Internal Bra Mastopexy

I originally shared my experience with an autologous internal bra mastopexy because I was genuinely happy with the idea of achieving a lift and support without implants or synthetic mesh. At the time, I was pleased with my early result and was hopeful that the internal bra would provide long-term support.

I now feel that I need to update my post because my experience has changed significantly with time.

At 9 months post-op, I no longer feel that my breasts have the support or shape that I was hoping for. The upper-pole fullness I had earlier has largely disappeared, and my breasts have become more bottom-heavy and appear to be descending again. In other words, the result has not maintained the lifted, supported appearance I initially had.

This is particularly disappointing because one of the main reasons I chose an autologous internal bra technique was to avoid implants while still achieving some long-term internal support.

I want to be clear that I am sharing my own experience and my own result, rather than saying that this technique will have the same outcome for everyone. Early post-operative results can look very different from the result months later, which is something I wish I had appreciated more when researching my options.

If you are considering an autologous internal bra mastopexy, I would strongly recommend asking your surgeon not only about the immediate post-op appearance, but also about how they expect the breasts to look at 6, 9 and 12+ months, the likelihood of recurrent ptosis/bottoming out, and what happens if the internal support does not hold.

For me personally, at this stage, I would not recommend this procedure based on my own experience. I would have approached the decision differently if I had known how much the shape and upper-pole fullness could change by 9 months.

I’m sharing this update because I think people considering surgery deserve to see the long-term result — not just the beautiful early post-op pictures.

Here is a picture of my scars at 9 weeks post op. Healing is going well. I’m pleased with how well I’m healing. I’m scheduled to have my first laser session in a weeks time. Hopefully the scars will fade even more. I’ve been wearing my silicone scar sheets since week 3 post op

I’m based in the UK and spent a long time researching surgeons before deciding on my mastopexy. Almost every consultation I had in the UK pushed me toward silicone implants, which I was never comfortable with. I wanted a lift, not implants, and I didn’t like the idea of introducing foreign material into my body if there were other options.

Most surgeons also recommended the lollipop incision. While I understand why it’s commonly used, my main concern was long-term breast ptosis and whether the lift would truly hold over time.

I kept researching and eventually came across the internal bra technique. Many surgeons who perform it rely on synthetic mesh, but that raised another red flag for me—mesh can have its own complications and is extremely difficult to remove if something goes wrong. That pushed me to look deeper.

The idea of an internal bra using my own autologous tissue made far more sense to me. I’m very aware that each surgeon adapts techniques differently, so I became very selective. I wasn’t just looking for good early results—I wanted a surgeon with consistent outcomes and long-term results.

That’s how I found Dr Mahmoud Awara in Egypt.

At first, I was hesitant about traveling abroad for surgery. But after multiple consultations with Dr Awara, he explained his technique in detail, addressed every concern honestly, and never rushed or oversold anything. That gave me the confidence to book and travel to Cairo.

The level of professionalism from Dr Awara and his entire team genuinely exceeded my expectations—especially considering I’m used to NHS standards in the UK. Everything was well-organized, safe, and handled with care and respect.

What really sets Dr Awara apart is his aftercare. He gave me his personal WhatsApp number, responds promptly to any questions, and actively follows up on my progress. That level of accessibility and accountability is rare.

I stayed in Cairo for two weeks post-op and was only cleared to fly once he was fully satisfied with my recovery.

I’m sharing my results from on the operating table through to 10 days post-surgery, and I plan to keep updating my photos as healing progresses. So far, I’m extremely happy with my decision and would highly recommend Dr Mahmoud Awara to anyone considering an internal bra mastopexy using their own tissue—especially if you’re trying to avoid implants or mesh.