Many women choose plastic surgery as a way to get breasts with improved shape and support. At The Aesthetic Centers in Newport Beach, CA, Dr. Siamak Agha, MD, PhD, FACS, our board-certified plastic surgeon is the co-pioneer of the Internal Dermal-Bra technique that uses your own dermis to create a natural internal bra to uphold your lifted breasts. This technique was created in 2005 by Dr. Siamak Agha and Dr. Peter Rubin as the dermal bra suspension breast lift and has been published in peer-reviewed journals and plastic surgery textbooks.
Since 2005, Dr. Agha has been offering this natural internal bra breast lift to all his patients and has improved upon this revolutionary technique. Like a push-up bra built inside your body, the Internal Dermal-Bra surgical procedure keeps your breasts lifted and perky without having to use bras or other clothing for support - even with breast implants! Learn more about the innovative Internal Bra technique by scheduling a consultation at The Aesthetic Centers.
As we age, Breasts change with time and sag progressively, leading many to seek breast implants or breast lift surgery. While breast implants make breasts larger, they do not result in a lifted breast. To correct for saggy breasts, a breast lift is needed. The standard breast lift procedures have two inherent problems:
Enter the internal bra. While the internal bra concept has been around for years, most plastic surgeons use a synthetic mesh or an acellular matrix from a cadaver to support the lower breast with a foreign material.
In 2005, Drs. Rubin and Agha described a revolutionary technique to use a natural internal bra from the connective tissue of your own breast (Dermal layer) to create a hammock to uplift the whole breast.
This internal dermal bra is kept attached to the lower breast tissue and is a living part of the breast. Thus, unlike foreign materials, it poses a lower rate of complications and provides a natural and superior alternative to a mesh. It's ideal for enhancing perkiness and support, like an invisible push-up bra. The technique is advanced and takes a long time to learn and perfect, thus not many surgeons offer it.
Dr. Agha’s internal bra surgery together with suture reshaping and breast suspension, is a comprehensive breast surgery procedure that lifts and supports breast tissue using internal support. Think of it as a permanent, built-in lift that enhances cleavage and creates a perkier appearance. In addition, Dr. Agha often reshapes the breasts, makes them narrower if needed, creates cleavage when desired, and projection.
Dr. Agha’s innovative Internal Bra breast lift goes beyond traditional plastic surgery techniques by addressing breasts in three dimensions: width, height, and projection. This results in a more complete lift and a natural-looking, perkier outcome.
In addition, this procedure does not reduce breast size. Your breasts can be kept the same size or even slightly augmented. By pulling the breast tissue together, this advanced breast reshaping procedure results in breasts that appear larger, fuller, higher, perkier, rounder, and projected but still natural and without any foreign material.
Dr. Agha, a board-certified plastic surgeon, will personalize your internal bra breast lift treatment plan based on your unique needs and goals.
This procedure is ideal for women with mild to severe breast sagging or weak breast tissue who are looking for a noticeable improvement without the need for implants. The Internal Bra can also be effective in breast reduction and lift surgeries as a way to provide a lasting result.
At The Aesthetic Centers, we're proud to offer the advanced Internal Dermal Bra Breast Lift and reshaping technique pioneered by Dr. Siamak Agha and Dr. Rubin. This innovative breast lift approach has garnered recognition in the field and has even been featured in plastic surgery textbooks.
Contact The Aesthetic Centers to learn more and schedule a plastic surgery consultation with Dr. Agha. He can discuss your goals and determine if the Internal Bra technique is your best option.
Here's a simplified breakdown of the key steps of the internal dermal bra breast lift.
Incision and Lifting: Dr. Agha makes incisions similar to a traditional lift, gently separating the upper breast skin from the breast tissue. The lower breast skin, covering the breast tissue, is then made into a natural, internal dermal bra by removing the skin cells while preserving the collagen layer of the skin.
Lifting and Reshaping: He strategically elevates your breast tissue to achieve the desired position and shape. The internal dermal bra is then sutured at a higher position like a hammock to support the lifted breast.
Internal Support: Using internal sutures, Dr. Agha creates a supportive structure to hold the lifted tissue in place.
Refined Shape: Additional sutures refine the breast shape, breast projection, and cleavage, and create a smoother contour.
Closure: The remaining skin is carefully draped over the lifted and reshaped breasts.
The internal dermal bra technique adds three-dimensional form and projection to the lifted breasts. Healing is notably superior with the Internal Bra surgery due to minimizing pressure on incisions. This technique yields rounded, perky, and natural-looking breasts that feel and look great.
Recovery from the internal bra technique typically involves gradual improvement over several weeks. While initial results may be visible soon after surgery, final outcomes often manifest within a few months as swelling subsides. Most patients experience some level of discomfort after Internal Bra cosmetic breast surgery as the body recovers. Dr. Agha will provide detailed instructions to ensure a smooth recovery.
Patients should expect some downtime, with restrictions on strenuous activities for several weeks. It's crucial to follow post-operative instructions diligently, including avoiding heavy lifting and sleeping on the stomach. Proper incision care and scar prevention techniques, such as keeping the incisions clean and using scar-reducing treatments as advised by your surgeon, are essential for optimal healing. Long-term maintenance involves maintaining a stable weight and wearing supportive bras to preserve results. Regular follow-up appointments with your surgeon at The Aesthetic Centers in Newport Beach, CA, will ensure your progress and address any concerns.
It's normal to experience some soreness in the first week or two following breast lift surgery, particularly around the internal sutures. Dr. Agha will prescribe medication to help manage any discomfort. Most noticeable healing occurs within 12 weeks, though continued improvement can happen for several months.
The Internal Bra (Dermal Bra Suspension Mastopexy) focuses on lifting and reshaping breast tissue without necessarily altering breast size. However, Dr. Agha will discuss your desired outcome and goals during the consultation. In some cases, if there is minimal breast tissue and significant sagging, a breast augmentation with implants or with autologous tissue might be a better option to achieve both lift and increased volume.
While everyone heals at their own pace, most patients experience the most noticeable healing within 12 weeks after the Internal Bra technique. You may experience soreness around the incision sites for the first week or two, but Dr. Agha will prescribe medication to manage discomfort. He will also provide specific instructions to ensure a smooth recovery. It's important to manage your expectations and understand that continued improvement in shape and definition can occur for several months after surgery.
The standard breast lift is a 2-dimensional breast lift procedure that does not offer the creation of projection or cleavage. It is simply a breast lift procedure and does not use internal sutures or an internal bra to offer a more lasting result. With Dr. Agha’s internal dermal bra breast lift, lasting upper breast fullness and roundness as well as breast lift results can be achieved. Also during this revolutionary breast lift technique, Dr. Agha usually over-corrects the lift so that once the breast tissue settles, he ends up with an optimal breast position and shape.
Many surgeons use a mesh or an acellular matrix (connective tissue from a cadaver) to cover and reinforce the lower breast. In contrast, Dr. Agha uses the dermis (connective tissue layer) of the lower breast skin as an internal bra to suspend the lower breast. Thus, no foreign material is used, and the internal dermal bra is part of your own breast skin.
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