Breast mesh implants, commonly referred to as “internal bra” devices, are surgical products used during breast reconstruction and augmentation procedures to provide structural support. Surgeons have increasingly used these materials as scaffolding or support systems for tissue expanders and implants in implant-based breast reconstruction.
With approximately 105,000 breast reconstruction procedures performed annually following breast cancer and nearly 300,000 augmentation surgeries, many women now receive mesh products during their breast surgeries. These devices function as internal scaffolding designed to lift and support breast tissue and implants during healing to preserve aesthetic outcomes.
What Are Breast Mesh Internal Bra Implants?
Internal bra mesh consists of synthetic or biologic scaffolding materials placed during breast surgery to lift and support tissue. These surgical mesh products serve as temporary structural reinforcement while the body develops new supporting tissue.
Surgeons apply breast mesh products in the following primary contexts:
- Breast reconstruction surgery after mastectomy involves surgeons placing mesh along the chest wall to support tissue expanders and implants following cancer treatment in alloplastic breast reconstruction.
- Cosmetic breast augmentation and breast lift procedures use mesh to provide internal support for implant placement and tissue repositioning.
- Material composition includes synthetic mesh such as P4HB (poly-4-hydroxybutyrate) polymer scaffolds, as well as acellular dermal matrices made from processed human or animal tissue.
- These products received FDA 510(k) clearance for soft tissue repair and reinforcement, though they have not been cleared or approved specifically for breast surgery applications.
These mesh products provide temporary structural support during the healing process. Manufacturers state the scaffolding materials encourage the body’s natural collagen production to create permanent tissue reinforcement.
As new collagen develops around the mesh, the synthetic or biologic material is designed to gradually absorb or integrate into surrounding tissue, theoretically creating long-term structural support for breast tissue and implants.
If you received GalaFLEX, Phasix, AlloMax, or FlexHD mesh during breast reconstruction or augmentation and experienced serious complications, you may have grounds for legal action.
Contact TruLaw using the chat on this page to receive an instant case evaluation and learn whether you qualify to pursue a Breast Mesh Lawsuit today.
FDA Clearance Status and Off-Label Use Concerns
Mesh products used in breast surgery received Food and Drug Administration clearance for soft tissue repair, not specific clearance or approval for breast applications. The FDA issued a letter to healthcare providers in November 2023 informing them of labeling updates to BD mesh products.
The regulatory landscape presents several key considerations:
- Products like GalaFLEX and Phasix received 510(k) clearance only for soft tissue repair in areas such as hernia treatment, not premarket approval for breast-specific applications.
- The FDA’s November 2023 letter to healthcare providers states “there are no surgical mesh products cleared or approved by the FDA for use in breast surgery, including in augmentation or reconstruction” and that the safety and effectiveness of surgical mesh in breast surgery has not been determined by the FDA.
- Legal teams are examining whether manufacturers adequately warned healthcare providers and patients about the distinction between FDA clearance for soft tissue repair and the off-label use of these products in breast surgery.
- Healthcare providers can legally prescribe medical devices for off-label uses, though questions remain about informed consent and whether patients fully understood the regulatory status of these products.
The widespread use of these products in breast surgery—an application for which they have not received specific FDA clearance—raises questions about patient safety and informed consent. These products came to be widely used by healthcare providers for breast surgery despite lacking FDA clearance or approval specifically for breast applications.
If you underwent breast surgery involving mesh products that lacked specific FDA clearance for breast applications and suffered complications, you may be entitled to compensation.
Contact TruLaw using the chat on this page to receive an instant case evaluation and find out if you qualify to file a Breast Mesh Injury Lawsuit today.