Breast Implants: Q&A

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Any Hope for Correcting Recurrent Symmastia?

I had BA in 2007, originally had 36A chest. The surgeon in MA placed saline round smooth implants. After surgery I noticed something wasn't right. I spoke to the doc on many times who wouldn't admit anything was wrong. I have symmastia and asked what I can do but he kept saying that my breasts were ok.

Recently I went to FL and had them replaced with a lift. The doc noticed how bad the symmastia was. My breast are now different sizes and still, I have symmastia.

Can I fix this or is it a lost cause? If I get them removed, will I still have symmastia? Will they ever look normal again?

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7 Doctor Answers | Asked by gg879 in rhode island

Doctor Answers (7)
Community Comments (0)

Symmastia surgery

Symmastia (medial malposition breast implants) can be corrected with high likelihood of success using medial breasts implant pocket sutures (medial capsulorrhaphy), lateral capsulotomy (if necessary), and/or the use of allograft. I do not believe that a staged procedure, involving removal of implants for period of time, is necessary. There is a learning curve with this operation and I recommend that you seek consultation with a board-certified plastic surgeon with significant... more

Symmastia

Without photos, it is hard to say what the exact problem is. That is if it is a true symmastia. These can be very difficult to fix.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Synmastia repair

Certainly this can be corrected, but it requires a detailed plan, alot of surgical work, and a very strict post-op recovery period. There are many different ways to address this issue, but it does not require that you remove the implants and leave them out for a length of time. However, even with the best repairs, it can recur. That is why you want to go to someone who does a fair amount of breast revision surgery This is a difficult issue with a complex solution... more

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Correcting recurrent symmastia

Symmastia takes place when either the surgeon or the breast implants (which frequently are too large) form a partial or complete opening between the two breast pockets allowing the breast implants to touch. The street name for this is "Uni Boob". It is important to know if you started with submuscular implants or not and which repairs were attempted the second time around as this would definitely suggest the next repair effort. The repair would depend on putting in smaller... more

Peter A. Aldea, MD

35 reviews

Memphis Plastic Surgeon

Recurrent synmastia

This is a complex problem and needs more detailed information. However, if you are looking for a definitive solution, the best answer would be to take the implants out, suture repair the muscle and/or obliterate the tunnel and leave them out. If you deisire augmentation. I would wait a period of two years after that.

Correction of synmastia is challenging

You have left out several details in your story that would help like whether your implants are below the muscle or not and whether they were exchanged above or below the muscle at your second surgery and if an attempt was made to repair the problem. One thing you might need to consider is having them out for 4-6 months. Then have new ones placed in a different pocket using smaller, not larger!, textured implants.

Synmastia is sometimes tough to correct but it can be

Synmastia occurs most often when implants are placed partially under the muscle and the dissection may be a little too aggressive close to the breast bone (sternum). You didn't mention if the second surgeon tried to repair it. Bottom line is that there is usually something that can be done but you would need to be seen and evaluated. If your implants are under the muscle there is a technique called neosubpectoral pocket popularized by Dr. Maxwell that has been used successfully. I would... more

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