Internal Bra for Breast Implant Revision

Consultations offered at our three convenient locations in La Jolla, CA, Apple Valley, CA and Newport Beach, CA

Internal Bra for Breast Implant Revision

Breast implant revision surgery is a great option for those who are unhappy with the results of their previous breast augmentation. However, in some cases, patients may require additional support to achieve the desired outcome. This is why it is sometimes necessary to fit what is known as an internal bra.

The internal bra is a surgical technique that utilizes specially woven surgical implants such as GalaFLEX or DuraSorb to provide extra support and reinforcement to the breast tissue and implants. This helps to prevent complications such as capsular contracture and implant displacement, while also improving the overall appearance of the breasts.

Dr. Ali Tehrani, renowned plastic surgeon at Tehrani Plastic Surgery in La Jolla, and Apple Valley, California, specializes in breast implant revision surgery utilizing the internal bra technique. With extensive experience in this area, Dr. Tehrani can customize the procedure to meet each patient’s unique needs and goals, whether it’s simply providing extra support for the implants or combining the revision with a mastopexy (breast lift) or breast augmentation.

If you are considering breast implant revision surgery and are interested in the internal bra technique, contact Tehrani Plastic Surgery today at (949) 706-7776 or fill out our simple inquiry form to schedule a consultation with Dr. Tehrani.

Read Dr. Tehrani’s blog for more information about his surgical services.

Breast Implant Revision Surgery

There are several reasons why people opt for breast implant revision, ranging from medical issues to aesthetic dissatisfaction. Research reveals that, while the vast majority of primary breast augmentations are successful, up to 36% will require some kind of revision. (1) Reasons for revision surgery include but are not limited to the following.

Complications of Breast Implants

Two of the most common complications that arise from breast augmentation are capsular contracture and implant rupture. Capsular contracture occurs when the scar tissue around the implant becomes too thick, causing the implant to feel hard and potentially causing discomfort. Overall capsular contracture rates are reported to stand at just over 10%, though many studies suggest this percentage is lower. It is dependent on many factors, including breast implant type, implant placement, and whether the patient smokes. (2) Implant rupture can occur due to trauma, normal wear and tear, or manufacturing defects, leading to potential leakage and deflation of the implant.

Changes in Body Weight and Aging

Changes in body weight and aging can also affect the appearance of breast implants over time. Significant weight gain or loss can cause the breasts to sag, while aging can result in a loss of volume and elasticity in the breast tissue. Patients who experience these changes may opt for breast implant revision surgery to restore their desired appearance.

Dissatisfaction with Previous Surgery

Some patients may undergo breast implant revision surgery due to dissatisfaction with their previous surgery. This could be related to the size or shape of the implants, scarring, or other aesthetic concerns. Revision surgery can help address these issues and provide a more satisfactory outcome.

Desire for a Different Size or Shape

Patients may seek breast implant revision surgery if they simply desire a different size, shape, or type of breast implant. This could be due to changes in personal preference or simply wanting a more natural-looking appearance. With advancements in technology, there are now more options available for patients who wish to change the size and shape of their implants.

Medical Necessity

In some cases, breast implant revision surgery may be medically necessary. This could be due to issues such as infection, malposition, or implant rejection. In these situations, revision surgery is necessary to address the medical concern and prevent further complications.

What is an Internal Bra?

An internal bra is a permanent mesh sutured inside the breast to provide additional tissue support. The mesh acts as a scaffold, holding the newly lifted breast tissue in place and preventing further sagging. It is made of a biocompatible material that is safe for use in aesthetic surgery.

During the procedure, the surgeon creates pockets within the breast tissue to accommodate the internal bra. The mesh is then carefully placed and secured in position, providing a supportive framework that helps maintain the shape and position of the breast.

Benefits of an Internal Bra

The benefits of using an internal bra include improved breast projection, increased upper pole fullness, and longer-lasting results compared to traditional breast lift techniques. It also provides added support for patients who have undergone breast augmentation and may be experiencing sagging due to the weight of their implants.

At Tehrani Plastic Surgery, we offer the latest advancements in breast implant revision procedures including the internal bra technique using GalaFLEX or DuraSorb. These innovative solutions provide long-lasting support for your breast implants, helping to keep them in place and prevent sagging.


GalaFLEX is a bioresorbable scaffold made of poly-4-hydroxybutyrate (P4HB), a material that has been used safely in medical devices for years. P4HB is a remarkable substance that becomes stronger the more it is stretched, yet it still remains flexible. (3) When introduced into the body, GalaFLEX provides support to tissue while also promoting the natural healing process for up to 24 months. (4)

In addition to these benefits, GalaFLEX also enhances tissue regeneration and increases tensile strength, leading to improved surgical outcomes and increased patient satisfaction. By providing a stable foundation for the body’s natural healing process, GalaFLEX reduces the risk of complications and ensures long-lasting results.

What Other Uses Does GalaFLEX Have?

  • Tissue Reconstruction 
  • Hernia Repair 
  • Soft Tissue Reinforcement


DuraSorb is a synthetic mesh made of polydioxanone (PDO). PDO is an absorbable material that is commonly used in medical sutures and cosmetic facial thread lifting. Unlike GalaFLEX, the DuraSorb internal bra is designed to be absorbed by the body in 6-8 months, (4) leaving behind natural breast tissue that is fully supported and lifted in a shorter time. 

Unlike traditional surgical mesh that can cause discomfort and complications, DuraSorb provides a more comfortable and natural feel. The PDO sutures are placed in a specific pattern to provide additional support to the newly lifted breasts and create a framework for natural tissue regeneration.

What Other Uses Does DuraSorb Have?

  • Tissue Engineering
  • Medication Delivery
  • Suture Anchors

Candidates for Breast Implant Revision

Breast implant revision addresses various issues related to breast implants. If you are dissatisfied with the appearance or feel of your current breast implants, you may be an ideal candidate for breast implant revision surgery.

To determine whether you are a suitable candidate for breast implant revision surgery, schedule a consultation with Dr. Tehrani. He will evaluate your health history, physical condition, and aesthetic goals to recommend the best approach for your unique needs.

Personal Consultation

During your personal consultation, you will discuss your needs and goals with Dr. Tehrani. He will explain the internal bra process in more detail, and give you more information about your two options, GalaFLEX and DuraSorb. Dr. Tehrani understands that revision surgery can be a sensitive topic for many patients. That’s why he places a strong emphasis on patient satisfaction throughout the entire process. He will take the time to answer any questions you have, address any concerns, and ensure that you feel comfortable with the proposed treatment plan before moving forward.

Better Results with Internal Bra Support

Dr. Tehrani will work with you to find the best treatment option for your breast implant revision surgery. And, whether you choose GalaFLEX or DuraSorb for your breast implant revision procedure, you can rely on us to provide effective, personalized treatment that fits your aesthetic goals.

Cost of Internal Bra for Breast Implant Revision in La Jolla

We work with each individual to determine the best option for their needs and financial situation. Our team can discuss pricing and financing plans during a consultation, so you can make an informed decision about your healthcare expenditure.

If you’re considering an internal bra for your breast implant revision in La Jolla or Apple Valley, don’t hesitate to contact us at (949) 706-7776 to schedule a consultation with Dr. Tehrani. We’ll work with you to find the right solution for your unique needs.


How does an internal sling bra work?

The sling bra works by creating an internal support structure for the breasts. It is made up of a durable material that is safe for use within the body and is designed to support the weight of the breast tissue. The material used for the sling is carefully selected based on the individual needs of the patient and the specific type of breast surgery performed.

Can an internal bra be incorporated into other procedures?

Yes, the internal bra technique can be combined with other procedures such as breast augmentation, breast reduction, or breast asymmetry correction. This combination of procedures can enhance the overall appearance of the breasts by providing volume, reducing excess skin, or addressing any size discrepancies between the breasts.

What can I expect during recovery after breast implant revision surgery with an internal bra?

Patients can expect some discomfort after the procedure, but they can manage this with pain medication prescribed by the surgeon. It is essential to avoid strenuous activities and heavy lifting for several weeks following the surgery to allow the internal bra to settle into the surrounding tissues. Recovery time may vary depending on each patient’s unique situation, but most patients can expect to return to their normal daily activities within a few weeks.


  1. Denney BD, Cohn AB, Bosworth JW, Kumbla PA. Revision Breast Augmentation. Seminars in Plastic Surgery. 2021;35(02):098-109. doi: 
  2. Headon H, Kasem A, Mokbel K. Capsular Contracture after Breast Augmentation: An Update for Clinical Practice. Archives of Plastic Surgery. 2015;42(5):532. doi: 
  3. Williams SF, Martin DP, Moses AC. The History of GalaFLEX P4HB Scaffold. Aesthetic Surgery Journal. 2016;36(Suppl 2):S33-S42. doi: 
  4. Turin SY, Gutowski K. Bioabsorbable Polydioxanone Mesh for Soft Tissue Reinforcement in Revisional Breast Surgery. Aesthetic Surgery Journal Open Forum. 2022;4. doi: