Internal Bra Lift

Conveniently located to serve the areas of Houston and Katy, TX

Internal Bra Lift

An internal bra lift is a type of breast lift that includes the added reinforcement of a mesh material, adding internal support and more elevation at the lower pole of the breasts. After performing a breast lift or other type of cosmetic breast surgery, surgeons simply add this flexible material to the breast where it cups and holds the implant and/or breast mound in place.

If you are interested in learning more about how to enhance your breast lift and prevent sagging over time, contact Dr. Bonnor M.D., F.A.C.S, a double-board certified surgeon who prides himself on utilizing his artistic vision with every one of his procedures. You can find natural-looking, beautified results at his practice, Texas Surgical Arts, located in Houston. Call (281) 579-5638 or request a consultation online.

Do I Need a Breast Lift?

A breast lift is suitable for just about any woman who has found that her breasts sag lower than they used to. There are a variety of reasons this occurs; weight fluctuations, pregnancy and breastfeeding, other hormonal changes, and the natural aging process can all take a toll on the breasts. This can be attributed to the weakening and degradation of collagen fibers within the skin, causing more downward migration and stretch marks. The Cooper’s ligaments- the connective tissues that suspend the breasts at a higher positioning- can also lose their recoil, failing to suspend the breasts at a higher positioning. (1)(2)

Sometimes, women may undergo a breast augmentation with implants, but find that their tissues are not strong enough to support breast weight over the years. Sometimes, irregularities in how breasts heal or a surgical mistake with the dissection method allows the implant to “bottom out” or result in a phenomenon called “double bubble”. While “bottoming out” refers to breasts that have an abnormal amount of volume in the lower pole of the breast mound, “double bubble” refers to a problem with the surgical placement of the inframammary fold, making both the implant and natural breast tissue migrate downward at different locations like two “bubbles”.

With a standard breast lift and/or breast implant revision with lift, Dr. Bonnor can fix a wide array of issues by repositioning the breast mound, forming a natural-looking inframammary fold, and removing excess skin. In certain cases, however, he may insert the mesh using the same incisions to prevent sagging and other aesthetic issues in the future. The insertion of the mesh only adds about half an hour of procedure time to the lift/revision surgery.

Candidates for an Internal Bra Lift

Are you dreaming of regaining that youthful perkiness in your breasts? Look no further than our advanced internal bra lift procedure! Whether you’re considering implants or not, if you’re experiencing any degree of sagging (ptosis), you could be an ideal candidate for this transformative surgery.

While the internal bra lift with mesh might not be the best fit for those with petite breasts, as they often benefit most from a lift without mesh support, we have a range of options tailored to suit your unique needs and desires.

Your health and well-being are our top priorities. To ensure the best results, it’s important that you’re in good overall health with no complicated conditions that could affect the healing process. Conditions like diabetes or high blood pressure can be managed effectively with medication and lifestyle changes, making you a prime candidate for this life-enhancing procedure.

Do you crave perky, uplifted breasts without a significant change in size? Our skilled surgeon, Dr. Bonnor, specializes in creating beautifully elevated contours that perfectly complement your natural shape. And if you’re considering a size change, we can seamlessly pair your internal bra lift with new implants to achieve your desired look.

For the best possible outcome, it’s essential to prioritize your health. If you’re a smoker, Dr. Bonnor will kindly request that you kick the habit prior to surgery. By giving up smoking, you’ll not only optimize your body’s circulation but also pave the way for a smoother, more successful recovery.

We understand that the thought of surgical scars can be daunting. However, with time and proper care, these scars will fade, leaving behind beautifully lifted and rejuvenated breasts that you’ll be proud to flaunt.

Implant Removal or Exchange

If you enjoy the look of your implants, Dr. Bonnor can perform a variation of the procedure that includes implant removal and the application of mesh. To begin, Dr. Bonnor will first administer the appropriate anesthesia and make an inframammary incision that follows along the bottom fold of the breast. If you have saline implants, he will utilize a surgical syringe to drain the contents of each implant before removing the silicone shells. For smaller implants, he may be able to remove them using periareolar incisions (surrounding the areola) or a keyhole/lollipop incision that includes a periareolar shape alongside a vertical incision from the areola to the lower fold of the breast.

Breast Capsulorrhaphy and Total Capsulectomy

Dr. Bonnor may need to revise the breast pocket and/or capsule where the implant lies. This may include a breast capsulorrhaphy, a procedural technique that includes reshaping the capsule with sutures after placing a replacement implant. A total capsulectomy is required for those with capsular contracture, a condition in which too much tight scar tissue forms around the implant. With a capsulectomy, Dr. Bonnor will remove the fibrous capsule and the implant within as one unit. He can then insert new implants immediately afterward if you desire.

Internal Bra Lift without Implants

If you do not have implants and do not desire them, Dr. Bonnor can restore an all-natural look and feel with a breast lift and mesh if he feels that you would benefit from it. Without the extra steps of implant removal, Dr. Bonnor can begin by making periareolar incisions (for mild ptosis), keyhole/lollipop incisions (for moderate to severe ptosis), or anchor/wise-pattern incisions (for severe ptosis). He can then adjust and insert the mesh so that it becomes the perfect internal scaffold, no matter the lift technique. After excising and tightening the skin and repositioning the breast mounds, he will securely suture the incisions and apply a surgical dressing.

The Regnault Classification System

To get an idea of what kind of technique Dr. Bonnor may prescribe, you need to understand your level of breast sagging/ptosis with the Regnault Classification System:

  • Mild ptosis is characterized by the NAC being at the same level as the inframammary fold.
  • Moderate ptosis means that the NAC has fallen below the inframammary fold, but it is still level with the lower breast contour
  • Severe ptosis is when the NAC lies below the inframammary fold and the lowest breast contour, and it points downward.

Cost of an Internal Bra Lift in Houston

An internal bra lift is a highly personalized procedure that Dr. Bonnor can customize to your liking and body shape. At the time of your consultation, Dr. Bonnor will give you a detailed quote for your surgery, helping you decide if it is right for you. If you would like to avoid making an out-of-pocket payment, Texas Surgical Arts offers financing plans with CareCredit.

To take the first step toward more youthful, uplifted breasts you can feel confident with, call (281) 579-5638 or request your consultation online today.

Commonly Asked Questions (FAQ)

Will I be able to feel the mesh from the outside?

Until the internal bra fully dissolves after 12 to 24 months, you may be able to feel it with your fingers from the outside, but you will not be able to see it. Usually, women with less tissue in their breasts will be able to feel the scaffold. It is not a problem and is a normal part of the healing process after a breast lift.

Can the mesh fit breasts of any size?

Yes, mesh comes in various sizes and rectangular, oval, and circular shapes. It is also available as a curved “3D” shape that serves to surround the lower pole of the breast in a more rounded fashion.

Can the mesh move around internally?

Mesh is sutured to the lower portion of internal breast tissue, so the material will not move around or displace itself.


  1. Norris M, Mills C, Sanchez A, Wakefield-Scurr J. Do static and dynamic activities induce potentially damaging breast skin strain? BMJ Open Sport & Exercise Medicine. 2020;6(1):e000770. doi:
  2. Çomçalı B, Kocaoz S, Özdemir BA, Parlak Ö, Korukluoğlu B. Effects of sagging breasts and other risk factors associated with mastalgia: a case–control study. Scientific Reports. 2021;11(1). doi: