The Internal Bra: Enhancing Breast Lift & Augmentation Results! | The Beauty Scientists

Dive into the world of the internal bra with Dr. Kristy Hamilton and Dr. Roy Kim! Discover how this innovative technique enhances breast lift and augmentation results for a longer-lasting outcome. Learn about different materials used, patient candidacy, and what to expect post-surgery. 

Don't miss this insightful discussion on modern breast enhancement techniques! 

#internalbra  #BreastLift #breastaugmentationsurgery  #plasticsurgery #staybeautiful #podcast #plasticsurgeon  #beautyscience

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Transcript

0:26

Hello this is Doctor Roy Kim with The Beauty Scientists with my co host Doctor Kristy Hamilton how are you I'm great excited about our topic today the internal bra yes this is a very hot topic because you may have heard about it but we will break down the concept we'll tell you how it's achieved and how it can be achieved in you and whether you're the best candidate so the internal bra sounds really cool it's basically a sling or something that reinforces your own breast tissue what's cool is that we can use it for breast implants it actually can be used for breast lift including if we use your own tissue and you get a breast lift we can actually still use an internal bra concept so in terms of you using it for breast augmentation Doctor Hamilton or Kristy how do you sort of figure out when to use it or not with an implant with breast lift with breast augmentation and lift? yeah so what women hasn't wanted to say I wanna have all the support of the bra but I wanna go braless that's that is something that women I think constantly have talked about and now we have something that's going to provide more support you'll hear us still say we want you to wear a bra but there are a few breast subsets or women with certain types of tissues that I think really ought to consider adding an internal bra one of those is if you're putting in very large implants I think that's going to put a lot of weight on the skin and the lower pole breast tissue and so extra support would be beneficial in that area and then when I look at women who got stretch marks not the best tissue quality maybe they're a little bit older maybe they had three kids and breastfed them for a year and a half each when we see that that collagen and elasticity is not great that's another great candidate to just add some internal support to help keep their lift or breast augmentation or combination as high for as long as possible similar to that category of patients also the massive weight loss patient so we see similar tissue quality stretch marks a lot of sagging and so we want to after we re drape and sculpt and make this beautiful lifted breast maybe with an implant for volume we wanna make sure that we just have we create as durable result as possible so I position it as insurance policy or enhancement for your surgery although since everybody's different their tissue qualities are different it's hard to tell patients oh how much longer they'll stay lifted if they have one if they don't because that journey is going to be individual person to person what about you I totally agree and I think it's easier to tell patients hey if you already have breast sag what we call ptosis if you already have lax skin or loose skin it's a little easier say hey yes we're doing this rejuvenating procedure but if you want a longer lasting result then yes I strongly recommend the internal bra I think it's to be seen whether it's used routinely in breast augmentation patients only and patients who don't need a breast lift yeah I agree cause we see people that put in smaller implants even larger implants and 20 years later they may still look great so you could definitely make that the case of that patient didn't need one but it's just it could be hard to know also with your magic 8 ball looking forward how tissue what the tissue quality may look like then but I agree I'm not using it routinely in primary cases especially for younger women yeah and so of course the question then is different ways to achieve the internal bra so we use your own tissue we can use various substances like acellular dermal matrix man made substances let me talk first briefly cause it's very brief about using your own tissue so we've been doing this for decades but what we found is using your own tissue whether it's dermis or even fascia it works but it tends not to last that long in the average patient so even though the concept's the same we have definitely about 10 years ago there's a big surge in acellular dermal matrix which essentially getting some animal skin it's processed and we use it but it's less common and I basically don't use it because of various reasons including the high cost as well as you know the way it was described to both of us is well we're going to put it in there but at the time of surgery it may move up or down a little depending on how it heals up what has your experience been I have mainly used those materials in breast reconstruction as opposed to and and you're really talking about more like complex revisional aesthetic breast surgery more than the the primary primary cases I would imagine but the the common theme that kept on coming up was like you know they're using skin whether it's animal skin or human skin and skin is stretchy so for the same reason that a patient may see sag happen we're using a material that's also capable of stretching like that to provide support and so I think that fundamentally it's not the ideal material to use although it does have its benefits right by like being like a biologic material that integrates well with the tissues and ultimately will remodel to just melt into the body and become part of you and so that's it that's a significant benefit but maybe not providing as much support as we were hoping it would yes and then the other thing too is when I talk about the high cost I'm talking about the high cost typically for cosmetic or aesthetic use patients who have it for health insurance slash breast reconstruction obviously the health insurance usually pays that cost but yes to a non breast recon patient the cost is significantly high which is why they came up with man made alternatives so there are various names including galaflex which is P4HB Durasorb which is PDS that's a chemical that's used in the absorbable suture and you have been lucky enough to try out OviTex which is reinforced sheep gut so how much fun are you having with those three types of internal bra materials yeah and I don't have a particular favorite of those I find that the p4 HB is probably like a little bit more robust the PDS I like that one because it's a known material that we've used for a long time so I don't lose sleep over using any of these meshes long term result and then the newest one the reinforced sheet but that's that's been positioned as kind of having the benefits of both the biologic as well as the synthetic one so you get that great tissue integration but also that more robust support than you would get with a biologic material alone and so these are all think depending on the patient and whether integration is more of a concern or not and like how how lax their tissues are how much support they need I think any one of those three could be interesting or useful yeah for the consumers out there all of these substances look sort of like a mesh and some of them are pre formed some of them are pre cut some of them just look like rectangles and as a surgeon we can cut it the way we want and some people just put them in some plastic surgeons actually suture them in how you suture them in sort of depends on what's going on as well as the plastic surgeon preference and they're all absorbable in other words your body does break it down and absorb it and the other cool thing with these three products is that when you're setting it in as a plastic surgeon that's where it stays as opposed to the acellular dermal matrix you can set it in any way you want but the body has to heal and sometimes it doesn't look exactly how you put it in a plastic surgeon yes and so I I like to place it along the lower pole of the breast like a sling which I imagine is is similar not exactly the same as is what you do and it can either be placed like in the breast implant pocket if that's a new pocket and integrate and have the implant kind of push against it or if I'm doing a lift I'll have it I'll mold the breast tissue itself and then place it along that lower pole on the outside between the gland of the breast and then the skin of the breast yes and it's a lot of fun to put in and it's very nice when you have it where you want it it will stay that way you have a lot of certainty as a patient as a plastic surgeon I think the other thing again for consumers out there is that typically you will need a breast fold incision to put them in so if your last breast augmentation was not a breast fold or if you really have your heart set on not having a breast fold sorry the really the best way of putting it in is to have full visualization as a plastic surgeon we want to be able to see everything dissect everything and put it exactly at your breast fold I don't think honestly that's a big deal breaker because it's after heals up it's very hard to see that incision especially if you have an implant in that natural crease um so really patients should hardly you know it's those tend to scar really beautifully and also it's going to be in the fold underneath your breast will be hard for even you to see yeah yeah and obviously if you're a patient who you've already had a breast augmentation or implant you've already have the breast fold incision I mean it's not that big a deal the incision already exists so and then we always we like to be very data driven and our recommendation so like one thing that people will mention is well these materials we haven't been using them this way for a tremendously long period of time but it's increasing number of years now and I think the more that we as a group of plastics as a group of plastic surgeons have used it I think we're increasingly seeing the value over time as it goes on but it's correct that we don't have these long term randomized control studies blinded to see if it's you know one is superior to the other or how much better that is to just no internal bra but it seems like a good investment in your result for the right patient yeah one thing some of my patients notice is that patients with very thin skin sometimes they could sort of barely feel this mesh where it's placed right after surgery however in pretty much all my patients once the body absorbs it once it dissolves so give it a year and give it two years it you can't really feel it at all so that's one of the cool things about this product yeah so there may be a little bit of patience involved but it's also in some ways like reassuring all the materials there it's working it is lifting up my implant or my breast tissue but just knowing having the peace of mind of knowing that that you eventually won't be able to feel it and some of them the softer ones like the PDS one I've never had a patient say that they feel that ever which is a nice element to the product too yeah and again for the consumers out there this newer PDS product may be only a couple years old PDS has been used for decades in the human body I mean it's been around forever so as far as we could tell very very safe bio material yeah yeah that's that's when I was willing to be an early adopter on because we we know that I use PDS in the breast surgery anyways so those sutures are one of the I use them for every single breast case I do so I had no concerns about adding more PDS to a breast well I think that about wraps it up because we explained this not very difficult topic but I think a lot of plastic surgeons sort of gloss over it and now I hope that you know people who are watching or listening can sort of visualize it and now they know even though there are a couple options with the sling or hammock of the breast that's really what it is we're recreating it surgically so that you can't see it in long term you have like rejuvenation of your breast and maintenance of that area yes so if you're listening would you want an internal bra is this something that you'd be interested in comment below let us know and as always stay beautiful stay beautiful thanks so much for watching and listening one of those three could be interesting or useful but if you want a longer lasting result then yes I strongly recommend the internal bra it's correct that we don't have is long term randomized control studies blinded to see it works but it tends not to last that long in the average patient