Dr. Ziya Saylan is a Turkish medical doctor and former president of the European Academy of Cosmetic Surgery, based in Düsseldorf, Germany.[1] In June 2004, he announced a procedure utilizing titanium/polypropylene mesh inserts to perform breast reconstruction, anchoring the "internal bra" to the ribs and muscle tissue. The procedure has been used on at least three dozen women to date.[2] Medical evidence regarding the safety of this procedure is still being compiled; however the technique of using titanium/polypropylene mesh in reconstructive surgery for hernias has been in use in Europe for years, and is approved for use for this purpose in the United States.[3]