Patient Details
This patient in her early 30s visited Dr. Siamak Agha seeking a natural way to restore shape and lift to her breasts. She wanted a result that felt youthful and supported but did not want implants or additional volume—just a more refined version of her own anatomy.
To achieve this, Dr. Agha performed an Internal Dermal Bra Lift (Dermal Bra Suspension Mastopexy). Using a bipedicle dermal flap, he repositioned and secured the lower breast tissue to the chest wall, creating a built-in internal support system. The surrounding breast tissue was then rotated upward and sculpted to create a rounder, more defined breast mound. Finally, the nipple–areola complex was elevated to a more centered, aesthetic position.
Because this method relies entirely on her own natural breast tissue, it enhances lift and upper-pole shape without implants or artificial volume. The internal support sutures provide structure that helps maintain projection over time.
Her postoperative photos highlight a refined breast shape, improved symmetry, and a stable, lifted silhouette. This case showcases how the internal dermal bra technique delivers long-lasting, natural results for patients seeking lift without implants.
A few years later, the patient returned to Dr. Agha for breast fat transfer, seeking additional soft volume after her lift. This complementary procedure further refined her breast shape and volume.
