Breast Implant Revision: Q&A

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Recovery After Breast Implant Upsizing and Capsulotomy, Possible Symnastia? (photo)

1st BA - (420cc saline,through armpit,subpectoral)I went back to my PS bc of rippling and wanted to go larger-750cc,saline/subpectoral, but through the areola this time.He had to do a capsulotomy as wel to release some scar tissue.After, he told me my chest muscles were so big they kept slipping from the clamps, and had to do more then he initially thought. 5 weeks now and I am still in pain(burning,cant sleep) from my pictures does it look like possible synmastia?they seem very close??

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6 Doctor Answers | Asked by DM 004 in Texas

Doctor Answers (6)
Community Comments (1)

Symmastia

You do not have symmastia. The pain and burning that you are feeling is not that uncommon at 5 weeks. The question of whether you are " too big," is a personal one, and should only be made by you. I agree that going with larger implants will not prevent ripples. Your best option was to switch to silicone gels. 750 cc's is too much for saline implants. When you get to such large volumes, you are particularly better off with silicone gels.

No Symmastia

The breast are separated at the midline, but because the implants are large, they are very close together. Is this the look you wanted?

Recovery After Breast Implant Upsizing and Capsulotomy, Possible Symnastia?

No I do not see a symmastia. But you have very LARGE implants that take healing time. Is this the look you desired?

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Symmastia?

No, I do not think that you have symmastia. The implants are too larger for your body and that is why they look close.

Steven Wallach, MD

13 reviews

Manhattan Plastic Surgeon

Breast implant up sizing, do I have symmastia?

Thank you for the photo. It does not appear that you have symmastia. You implants are close because they are too large for your chest wall. If a person develops rippling is because the breast tissues are very thin or overstretched. Placing larger implants will not correct the situation, but just postpones the inevitable; further tissue thinning, sagging from the weight of the implants and further rippling. What will be your next solution? Place even larger implants? Personally, I feel you... more

Possible synmastia

Though your breasts are close to your midline, it does not appear that you have synmastia. Discuss implant displacement exercises with your surgeon, especially to shift your breasts laterally. More healing time will likely improve the appearance as well.

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Comments (1)

DM 004
9 months ago

My ps did tell me that most likely my rippling would not be corrected if I went bigger, going bigger was my choice. However, do you think that since they are so big, he had to dissect my pocket even more which is why I am still having burning pain at 5 weeks? also, in my post op instructions it said for me to wear a bra the entire time for 2-3 weeks min., My ps told me the exact opposite after the surgery was over, i was not and am still not allowed to wear a bra?

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Breast Implant Revision: Q&A