What is the internal bra technique used in revision?
An internal bra builds a supportive sling inside the breast — sutures, mesh, or dermal matrix — so the new implant stays where it was placed.
Gravity and implant weight can defeat even a well-made pocket over time. The internal bra concept answers that with structure: instead of relying on skin alone, the surgeon anchors a supportive layer inside the breast that carries part of the load.
What the internal support is made of
Depending on the case, the sling is built from layered permanent sutures, a surgical mesh, or an acellular dermal matrix sheet fixed to the chest wall along the breast fold. It reinforces the repaired pocket after capsulorrhaphy, resists bottoming out, and helps define the lower breast border while tissue heals around it.
Whether your tissue needs this reinforcement — and which material suits it — differs by skin quality, implant weight, and how many operations came before. Bring the question to a plastic surgery specialist and ask what would happen without the extra support.
MediIndex articles are for general information only and are not medical advice, diagnosis, or advertising. Outcomes vary by individual — consult a board-certified specialist for personal decisions.