By Dr. Michelle Sieffert |
Breast Lift vs. Internal Bra Surgery
2 Techniques, 1 Shared Goal: Enhance Both Breast Support & Shape
At Donaldson, we have seen a noticeable increase in patients asking us: “What is the difference between a breast lift and internal bra surgery?” While both are highly specialized surgical techniques that address breast sagging and shape, they each offer unique methods for achieving a more lifted and supported result.
The Simple Answer:
A breast lift repositions tissue and removes excess skin; internal bra surgery is an additional step designed to uphold breast lift results by offering a layer of internal support using dissolvable mesh, sometimes referred to as “scaffold.”
Notably, there is no significant difference in downtime between a lift with an internal bra and a standalone breast lift.
What Is Internal Bra Surgery?
Internal bra surgery involves the strategic placement of a dissolvable mesh, such as Galaflex, to reinforce the lift from within. It acts like an internal hammock, supporting breast tissue and, in some cases, implants while encouraging your body to build stronger collagen in that area.
“The addition of an internal bra is basically adding in a dissolvable mesh to hold & prolong the results of the lift.”
– Dr. Michelle Sieffert
Can You Feel The Internal Bra Mesh?
Yes, but not always. It is possible to feel the biocompatible mesh under the skin for up to 1-2 years while it’s being absorbed. Some patients describe it as a velcro-like sensation. It is not painful, just something new to adapt to.
What Are The Negatives of An Internal Bra?
The mesh can work against the goals of your lift or implant if it is not placed properly. That’s why surgical precision and experience matter greatly with this technique.
Can You Get An Internal Bra Without A Lift?
Technically, yes, an internal bra can be used in conjunction with breast augmentation alone, without a lift. But it is not a standalone procedure. The mesh is added as part of a more comprehensive surgical plan to support either an implant or repositioned breast tissue.
If you’re not receiving implants or a lift, there is no anatomical structure for the mesh to reinforce, which makes internal bra surgery unnecessary and inapplicable on its own.
Why Internal Bra Surgery Is Rising In Popularity Now
The internal bra has been available for cosmetic purposes for upwards of 30 years. However, increased transparency about plastic surgery on platforms like Reddit has brought new awareness to this technique. Users openly share their experiences with internal mesh support, and surgeons offer their insight and provide greater context.
While not a trending hashtag, “#InternalBra” has gained traction across TikTok and Instagram in the past year. These conversations are helpful, but they don’t replace a consultation. It’s important to explore all options with your surgeon. It is equally important to know that not every option is right for every body type.
What Is A Breast Lift?
Also known as mastopexy, a breast lift is a procedure that repositions the nipple and removes excess skin caused by weight changes, pregnancy or natural aging. This reverses ptosis (or sagging), helping to elevate and reshape the breast.
The procedure is typically performed using incisions around the areola, in a lollipop shape or with an anchor-like pattern.
“A breast lift is also a great way to reposition the nipple & remove extra skin. I tell patients that we’re using surgery to reverse that natural ptosis.”
– Dr. Michelle Sieffert
Which Procedure Is Right For You?
This is a highly personalized decision. For patients with significant weight loss or a noticeable loss of skin elasticity, an internal bra can enhance the longevity of a traditional lift’s results. But it’s not a universal necessity.
Your surgeon will evaluate your skin quality, breast tissue and long-term goals before recommending the technique best suited to you. A breast lift (with or without an internal bra) can deliver elevated support and refined contours when tailored to your anatomy and your confidence.
About The Author
Dr. Michelle Sieffert is a board-certified plastic surgeon at Donaldson Plastic Surgery in Columbus, Ohio, specializing in cosmetic procedures of the face, breast and body. She performs breast lift surgery on a weekly basis, with or without internal mesh support, depending on the patient’s goals.
Known for her mastery of anatomy and renowned bedside manner, Dr. Sieffert is a passionate advocate for patient education. She believes your options should never be limited by a surgeon’s capabilities and takes pride in helping patients understand their bodies more deeply so they can make empowered, informed decisions.
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