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What is an Internal Bra?

Nash

The world of aesthetic medicine is constantly evolving, with new techniques and innovations emerging regularly. The internal bra technique is a recent development that garnered significant attention in breast surgery. This article looks into the details of this procedure, its benefits, and who it is most suitable for, offering a comprehensive understanding of this advanced surgical method.

Understanding the Concept of an Internal Bra

The term ‘internal bra’ refers to a surgical technique employed in breast surgery to provide additional support to the breast tissue or implants. The fundamental idea behind this method is to create an internal support system, much like a traditional bra, within the breast itself. This technique aims to enhance the shape and position of the breasts, providing them with an uplifted and firm appearance.

Contrary to the terminology, an internal bra does not eliminate the need for a physical bra post-surgery. Instead, it complements the support offered by a physical bra, working in synergy to ensure the best postoperative results and maintain the enhanced breast shape over the long term.

The Procedure: How is an Internal Bra Created?

The internal bra technique involves using either additional suturing or a surgical mesh to create a supportive structure within the breast. In the more common suturing method, the surgeon strengthens the inframammary fold (the crease line under the breast), creating a more stable and secure foundation for the implant or the natural breast tissue.

A surgical mesh, typically made of biocompatible material like Alloderm, is used in more complex cases. This mesh is sutured to the chest wall and the breast tissue, acting as a scaffold that provides enhanced support to the lower portion of the breast. Over time, the mesh integrates with the natural breast tissue and is eventually absorbed by the body, leaving behind a firm, youthful breast silhouette.

The Benefits of the Internal Bra Technique

The internal bra technique offers several advantages, particularly for those at a higher risk of postoperative complications. Here are some key benefits:

  • Improved Breast Shape and Position: The technique enhances the shape and position of the breasts, providing them with a more vibrant and full appearance.
  • Prevents Implant Malposition: It helps address issues related to implant malposition, such as implants placed incorrectly or those that have moved post-surgery.
  • Addresses Contour Irregularities: The internal bra can help fix contour irregularities in the breasts, giving them a more symmetrical and aesthetically pleasing look.
  • Prevents ‘Bottoming-Out’: The technique can help prevent a common postoperative complication known as ‘bottoming-out,’ where the implant moves downward, causing the breasts to sag.
  • Longevity of Results: The internal bra technique can enhance the longevity of a breast lift or augmentation results by providing a stronger foundation for the implants or natural breast tissue.

Ideal Candidates for the Internal Bra Technique

The internal bra technique may benefit various patients, particularly those with weak breast tissue that may not adequately support an implant. It can also be a valuable solution for women with breast implants who suffer from recurrent breast sagging or have had implant malposition. Additionally, those who have experienced significant weight loss, pregnancy, or breastfeeding, which can lead to a loss of skin elasticity, can also benefit from this technique.

Please note that the suitability for a breast augmentation or lift, including the internal bra technique, typically requires a Body Mass Index (BMI) of 30 or less.

The Internal Bra Procedure: What to Expect

During the initial consultation, the surgeon will explain the internal bra technique, including postoperative care instructions and what results the patient can expect. The procedure is often combined with a periareolar lift or a full breast lift to tighten any loose skin on the breast.

The surgery can take 2 to 4 hours, depending on the case. Since it is an outpatient surgery, patients can return home once the procedure is finished. In many cases, the internal bra technique can re-engineer a woman’s natural breast tissue to achieve results that a breast augmentation and lift alone may not.

Postoperative Recovery and Care

Post-operatively, patients can expect swelling, bruising, and discomfort in the treatment area. Drains are typically placed for a week to minimize swelling and aid in healing. Oral pain medications are prescribed to manage discomfort.

Temporary numbness or loss of nipple sensitivity may also be experienced following the procedure. Resting for a week after surgery and refraining from strenuous activity for 3-4 weeks is recommended.

It is important to note that even though the procedure involves the creation of an ‘internal bra,’ it is still recommended to wear a physical bra regularly post-surgery to maintain the results and prevent complications.

The Cost of an Internal Bra Procedure

The exact cost of an internal bra procedure can vary depending on several factors and the case’s complexity. It is advisable to consult with a trusted, board-certified plastic surgeon who specializes in advanced aesthetic and reconstructive breast procedures to get an accurate cost estimate.

Choosing the Right Surgeon

The choice of a surgeon is crucial when considering an internal bra procedure. Choosing a breast specialist who focuses predominantly on breast surgery using implants and has extensive experience in the internal bra technique is essential. A board-certified plastic surgeon with a strong track record of success in breast augmentation and lift procedures can ensure safe and effective results.

Conclusion

The internal bra technique represents a significant advancement in breast surgery, offering a solution for enhancing the shape and position of the breasts and preventing postoperative complications. However, any surgical procedure requires careful consideration and consultation with a skilled and experienced plastic surgeon. Patients can decide whether this technique suits their needs and aesthetic goals by understanding what an internal bra is and how it works.

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