A breast implant includes an elastomer shell a dermal matrix disposed on the implant shell and a support interposed between the elastomer shell and dermal matrix to separate the elastomer shell and dermal matrix. A process for making a breast implant includes disposing an elastomer shell in a support and disposing a dermal matrix on an outer surface of the support. A method of using the breast implant include disposing the breast implant in a subject and attaching the support to tissue of the subject.