14 months breast augmentation post-op and I have skin tenting. Will this ever go away? (Photo)
Doctor Answers 10
- Your implants are large.
- The photo and what you say is happening - increased tenting, tugging on the sternum - is impending symmastia.
- You should have a revision with a significantly smaller implant.
- Be sure the implant actually fits your chest frame by measurements.
- Once symmastia develops it is harder to fix - implants need to be removed and not replaced for about 6 months.
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Revision if the size or appearance of the breasts/cleavage is an issue
If you like the size of your breasts and the appearance of the cleavage area then nothing needs to be done. If you think your breast implants are too close together or if you think your breasts are too big then I would consider going with a narrower implant and modifying the pocket a little while your plastic surgeon is in there.
All the best,
Dr. Remus Repta
If you feel these are too large, that may be a reason for a revision, and if so a capsule repair can be done.
I don't think a wait and see approach would make it any harder to repair in the future if things get worse or if you decide later that you don't like your result.
14 months breast augmentation post-op and I have skin tenting. Will this ever go away?
The appearance of your breast implants is certainly on the verge of symmastia. No one can assure you that it may or may not get worse with time, however there is no doubt that it looks abnormal and could be improved.
Capsulorrhapy is an excellent procedure for pocket closure in the inferior and lateral regions, but frequently is ineffective medially. My recommendation is the use of another technique that circumvents the need for pocket alteration by creating a new submuscular pocket. The old scar capsule is obliterated by sewing the front portion to the back portion. A new pocket is created over the capsule but still under the muscle. Great care is taken to limit the new pocket's dimensions toward the sternal area. The 'lifted' skin over the sternum is now protected and does not rely on sutures to hold the implants back.
If your surgeon doesn't know this technique, you should have a consultation with a few surgeons that do. I have found it to be a reliable way of ensuring permanent separation of the implants. Although not necessary for success, you may consider smaller implants as these would be shifted laterally after the procedure, possibly making them too prominent in the lateral chest area.
Best of luck!
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