Symmastia after Breast Augmentation

I had breast augmentation in 2006. My surgeon quickly noticed that I had symmastia and had told me that it was no big deal and it should improve over time. Then in July of 2008 he suggested to me that he could put sutures in the middle and change my implants to fix it and I only would have to pay the anesthesia and for the new implants.

Well it’s been 7 months and I still have the same problem except that I have bigger scars on my nipples and scar tissue on my right nipple that causes it to point down. What do I do? Please help!

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8 answers to “Symmastia after Breast Augmentation”

A: Symmastia is not easy to repair.

By John P. Di Saia, MD - Orange County Plastic Surgeon

Hello, As the other surgeons here have noted symmastia is not easy to fix. You probably need more surgery and smaller implants. The ways to fix this are not standard. See your surgeon and make a game plan.

A: Symmastia

By Steven Wallach, MD - Manhattan Plastic Surgeon

Symmastia is a condition that can be very difficult to treat. The easiest way to treat this is by switching from a subglandular pocket to a submuscular one. It also may help to use smaller implants if they are quite large. Suturing the pockets in the midline can help for specific conditions.

A: Symmastia is a very complex problem! Continue to see your plastic surgeon.

By Stephen A. Goldstein, MD - Denver Plastic Surgeon

Thanks for your question. I think it is imperative that you continue to follow up with your plastic surgeon. He certainly understands your anatomy and the procedures he/she performed. Everyone agrees that symmastia is a very complex problem. It sounds from your description that revision surgery is required... more

A: Synmastia is a challenging condition

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

Synmastia is difficult to treat. It may require more than one operation and as my colleagues have stated, there are many options and sometimes different procedures may need to be performed in order to correct. These include: 1. Removal of the implants at procedure; 2. Using textured implants (these have a... more

A: Synmastia blues

By Kenneth R. Francis, MD - Manhattan Plastic Surgeon

Asian Redneck (I love it), Synmastia is a vexing problem that is sometimes difficult to fix. I would assume that a capsulorrhaphy (stitching closed the capsule that contains your implant) was done at the time of your correction. This may be an incorrect assumption, and if it is, may work to your... more

A: symmastia is difficult to treat

By Bahram Ghaderi, MD - Chicago Plastic Surgeon

Symmastia is difficult to treat. It may take a staged approach where you remove the implants and allow everything to heal. Then go back in about 6months for re-augmentation with more attention paid to making the pockets smaller and using a smaller implant. Otherwise, your surgeon may discuss with you the use... more

A: Synmastia is very hard to correct

By Richard P. Rand, MD - Seattle Plastic Surgeon

Some patients have an anatomical predisposition to central migration of their implants if they have an inward angling chest wall. In these patients, a good gap between the two pockets assists in preventing synmastia. Sometimes, the pocket is incorrectly dissected and sometimes a patient can be too vigorous... more

A: Many options, few solutions...

By Robin T.W. Yuan, MD - Beverly Hills Plastic Surgeon

Synmastia following breast augmentation is a difficult situation. I am assuming the synmastia is completely the result of the augmentation and consists of the joining of the pockets on each side in the midline thus allowing the implants to touch in the middle through this tunnel. Suturing this tunnel closed is... more

Comments

asianrednec
5 posts
8 Mar 2009

Thank you for all of your feedback. I really appreciate the time that you have taken to answer my question. I forgot to mention that I have already had the revision surgery in July of 2008 and I realize now that it was unsucessful. :( Unfortunately for me the time and expense that will be required to go through another revision surgery (with the possibility of failing again)is not an option. I am going to have to find a way to cope with being disfigured. I truly hope that your answers to my question will help someone else with symmastia to not make the mistake that I have and pay for an unsuccessful revision surgery. Love, asianredneck

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