Is Breast Revision for Symmastia Difficult?

asked 1 year ago by 7155anon in michigan
Latest answer by Tom J. Pousti, MD
Question viewed 2,541 times
Tags: symmastia, uneven

right breast is a lot higher, has a band up and down between the center of the breast and nipple, Hard feeling. Line across the center of chest connected to other breast, lifts up the center of my chest when the muscles flex. very tight feeling. Any twitch, Implants move muscle flexion. Can slide chest side to side with center moving. right breast cross over the center of my chest. Left breast has some of same issues. center lifts off when bend over or where push up bra. Looking for Michigan Dr

10 answers to Is Breast Revision for Symmastia Difficult?

Capsular Contracture and Symmastia Repair

Based on your description and photograph you have capsular contracture on the right breast and mild symmastia. The treatment of these two are completely different. You will need a capsulectomy on the right side and a new implant. For the symmastia, you will need the communication between the two pockets to be closed internally with sutures. These two procedures have a higher rate of needing further revision surgery. One reason is that in order to keep the breasts soft and decrease... more

Babak Dadvand, MD
Los Angeles Plastic Surgeon

Treatment of symmastia and capsular contracture

The condition you describe and what can be seen in the photo is a connection between the 2 breast implant pockets and a capsular contracture. Their treatment is more difficult than either one alone or placement of first time breast implants. The scar capsule needs to be removed and then the connection between the 2 pockets closed off with sutures. Sometimes you have to place Alloderm or other skin matrix in order to have strong tissue that will hold the sutures. Certainly replacing the... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

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

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Symmastia is a difficult problem but can be corrected

I have treated less than 10 patients over 28 years with symmastia and have performed over 3000 breast operations. As you can see from these numbers it is not a common problem, which is fortunate. Since I'm being referred more patients for revision of cosmetic breast surgery recently, I have seen five of those 10 patients in the last five years. I've been using dermal matrix grafts such as Strattice and Biodesign with very good results. Basically, the graft is placed as a barrier... more

Joseph M. Perlman, MD
Houston Plastic Surgeon

Michigan Plastic Surgeon

Hello and thank you for the question. Reviewing your photograph and history, you need a board certified plastic surgeon with experience in breast revision surgery. I recommend Lawrence Tong in Birmingham, MI. Tel. 800.401.1212. Best of luck, Glenn Vallecillos, M.D., F.A.C.S.

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon

Contracture and symmastia a difficult revision

From what you describe, there is an animation deformity, symmastia, and a capsular contracture. This is the type of revision that requires special expertise. Talk to Dr. Brad Bengston in the Grand Rapids area.

Richard Baxter, MD
Seattle Plastic Surgeon

Treatment for synmastia is difficult and best done in 2 stages.

My advice to you is to remove the implants and the capsules without immediate replacement. After 3 months, the tissues will be well healed and a straight forward breast augmentation can be performed without the need for direct repair of the synmastia (it will have healed over the 3 month rest).

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Coomplicated breast implant revision

This is a difficult problem and is likely associated with a higher rate of revision. Consider Dr. Dennis Hammon.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Symmastia and capsular contracture

A capsular contracture can be treated by removing the capsule and possible placing the implant in a different pocket plane. The symmastia can be corrected at the same time.

Steven Wallach, MD
Manhattan Plastic Surgeon

Symmastia repair

From what you describe and from your photos, it sounds like 2 separate issues. It appears as though you have a capsular contracture of the right breast. Firmness and elevation are two common signs of contracture. Symmastia is the abnormal communication between the breasts which can be static (seen all the time) or dynamic (only seen with breast motion). Both repairs are quite challenging, however are somewhat similar. The goal of capsular contracture repair is to remove the offending... more