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Internal Bra Mastopexy in Los Angeles

Women that require a breast lift have sagging breast tissue that may be the result of pregnancy, weight loss, or the natural aging process. Breast ptosis (sagging) can occur in breasts of almost any shape or size. However, the traditional breast lift technique with an inverted-T incision is not an option for many women to accept. The revolutionary internal bra mastopexy technique is capable of providing the same quality lift results as traditional techniques while providing long-lasting enhancement with just incisions around the areola.


Women seeking the internal bra mastopexy should be in good health and have realistic expectations about their results. Women who choose the internal bra mastopexy over a traditional technique may have one or more of the following:

  • Mild to moderate ptosis
  • Good skin quality (thick skin)
  • Breast tissue that is too heavy or too saggy for a circumareolar lift
  • Need for an inverted-T mastopexy but do not want the inverted-T scar

Internal Bra Mastopexy Procedure

Dr. Kao performs the internal bra mastopexy as an outpatient procedure with the patient under propofol sedation or general anesthesia. To minimize visible scarring, Dr. Kao combines an exterior circumareolar incision on the skin with an internal inverted-T molding of the breast tissue on the inside. Through the exterior incision, he separates the skin from the breast tissue. The outer skin is lifted and reduced in a circular pattern. Through the internal inverted-T incision, the breast tissue is lifted and molded into a more youthful shape. Dr. Kao places an acellular dermal (ACD) matrix to create an internal bra that attaches to the chest wall, which eventually becomes incorporated into the breast tissue. The ACD matrix provides extra structural support to the lower breast to prevent future sagging from occurring. It’s like wearing an invisible bra under the skin all the time.

Benefits of Internal Bra Mastopexy

  • Achieve a true lift without an inverted-T scar
  • ACD matrix offers additional internal support
  • Very low risk of rejection of the ACD matrix
  • Able to reposition the nipple/areolar complex up to eight centimeters
  • Control of the shape of the breast mound
  • Control of the roundness of the areola
  • Control of the scar around the areola


You will experience some bruising, swelling, and redness following your procedure. Drains are placed for five to seven days to minimize swelling. You may experience some mild discomfort, but oral medication will be prescribed to control any associated pain. You should avoid strenuous physical activities for three to four weeks following your procedure.

All of Dr. Kao’s patients have the option to stay at an aftercare facility following their procedure. Serenity is a post-surgical care facility situated just across the street from Dr. Kao’s surgical facility, and is located in a federally and state-licensed healthcare center.

Breast numbness and loss of nipple sensitivity are usually only temporary. You can return to work after one week and resume your normal exercise routine after four weeks. Most major swelling should begin to subside after six weeks, at which time your final results should become apparent.


Internal bra mastopexy provides the durable lift results. The ACD matrix adds structural support for a permanent correction to the breasts. Dr. Kao’s incision technique offers virtually no visible scarring.

If you wish to restore a youthful appearance to your sagging breasts, schedule your consultation today. Dr. Kao is a board-certified plastic surgeon who specializes in cosmetic and reconstructive surgery. He and his helpful, friendly staff are available to answer any questions or concerns you may have. Contact our office at 310-315-9211 or fill out our online contact form for additional information.

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