At Capizzi MD Cosmetic Surgery & Med Spa in Charlotte, our internal bra approach reinforces breast shape from the inside out—adding long-term support where tissue alone isn’t enough. It’s a sophisticated solution for breast augmentation in patients with lax tissue and for complex revision cases (bottoming out, lateral displacement, recurrent sagging, or stretched skin after pregnancy or weight change).
“Internal bra” is a dissolvable mesh that reinforces the breast’s internal support system. While this is a newer technique in the cosmetic plastic surgery scene, these matrices (i.e. Alloderm, Strattice, SIA) have been used for decades in breast reconstruction to achieve long-term results. Most often, we use an internal mesh called Galaflex, that is made from suture material and is proven to create tissue that both strengthens and supports as the mesh itself dissolves over 12-18 months following surgery.
Your exact plan depends on your anatomy, skin quality, and surgical goals. In some cases, sutured pocket repair alone is best; in others, adding an internal bra provides the most reliable long-term outcome. Your surgeon will discuss all material options—including benefits, considerations, and whether they’re right for you.
Our philosophy: Preserve what’s beautiful, reinforce what needs support.
Led by double-board-certified plastic surgeon Dr. Peter Capizzi—advisor to Motiva and the Preservé technique—our team focuses on elegant, natural results with reliable long-term support.
You may benefit from an internal bra if you have one or more of the following:
The internal bra is often combined with a breast lift (mastopexy) or implant exchange to optimize shape and symmetry.
Consultation
We evaluate skin quality, implant position, fold integrity, and symmetry. You’ll receive a personalized plan outlining whether sutured repair, a support matrix, a lift, or implant exchange (or a combination) will deliver your best outcome.
Surgery day
Most internal bra procedures take 1.5–3 hours, depending on complexity and whether a lift or revision is performed. You’ll go home the same day with clear instructions and 24/7 access to postoperative support.
(Recovery can vary based on your procedure; we’ll tailor your plan to your lifestyle.)
If you’re seeing implant shift, bottoming out, or want your next result to truly last, an internal bra may be the missing piece. Book your consultation with Capizzi MD in Charlotte to get a personalized plan—and a result that feels beautifully secure.
Capizzi MD explains three current U.S. fill types: silicone gummy bear (cohesive gel), silicone, and saline.
The page states these cohesive gel implants are the only silicone implants they recommend right now due to high patient satisfaction and strong safety ratings, with a feel that mimics breast tissue and low complication rates.
Saline implants may be considered if a patient wants an underarm incision or a larger size that may not be available in silicone, though the page notes a higher risk of rippling/folding or rupture over time.
The page lists Motiva, Sientra, Allergan/Natrelle, and Mentor, and notes some brands may be limited to board-certified surgeons.
Capizzi MD explains smooth vs textured refers to the outer shell surface (smooth moves more freely; textured can attach more to the pocket/capsule and is often used in reconstruction). It also outlines round implants (common at Capizzi MD; maintain fullness and upper-breast cleavage) vs shaped implants (often for reconstruction/minimal tissue; natural contour).
