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Symmastia or Not?

asked 5 months ago by anon
Latest answer by Stanley Castor, MD
Question viewed 324 times
Tags: silicone implant, under muscle, 350-399cc, PIP, symmastia

I’m really shocked about the answers of my first question: My Implants are under muscle, silicone 380 CC. I have read a lot about Symmastia but I’m not sure if I have this because I can touch my chest when I lightly press in the centre and I can see my cleavage if I contract a little the muscles.

I decide not to go bigger but I want to change the implants because they are PIP. Do I have symmastia or no ? is this grave or difficult to repair ? would Thongbra help after the revision ?

6 answers to Symmastia or Not?

+2

Symmastia

Yes, it appears that you have symmastia. It is moderately difficult to correct, but it can be done when your PIP implants are replaced. A Thong bra would definitely help to support the repair. Good luck!
Stanley Castor, MD

Tampa Plastic Surgeon

www.DrCastor.com

+2

Symmastia?

Thank you for the question and pictures. You clearly have medial breast implant malposition ( implants too close to the midline of the sternum). True “symmastia” where the breast implant crosses the midline and communicates with the other side is quite rare. Regardless of the semantics, correction of the implant malposition is possible with an internal suture technique (two layer capsulorrhaphy) and reverse image capsulotomy ( opening the spaces on the sides of... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Breast Implants - Symmastia, Silicone Gel

It looks like symmastia - at rest, your implants touch (ie, the skin over them touches in the midline). That is essentially the definition of symmastia. Correction is not impossible but it can be tricky and you, most likely, would have to agree to go with smaller implants, or at least a different profile (ie a narrower base). In general, though, inserting smaller implants is one of the basic tenets of symmastia repair. You may need to have some acellular dermal matrix... more
Alan Engler, MD

New York Plastic Surgeon
+1

Synmastia

I would agree that this appears to be the diagnosis. The surgical correction can be straightforward but does rely on the quality of your body tissue and the minimum size implant you are willing to accept.
Michael Hueneke, MD

Nashville Plastic Surgeon
+1

Treatment for symmastia

You absolutely do have symmastia. It certainly is not 'grave' but can be somewhat difficult to treat. The pocket needs to be opened out to the side and closed next to your breast bone. Wearing the 'thong' bra can be helpful after your surgery. If you have PIP implants, you definitely should have them removed and, if they were done in the US, they should be changed by your surgeon at NO cost to you as PIP implants were never approved for use in the US. more
James McMahan, MD

Columbus Plastic Surgeon
+1

Symmastia

It sure looks like symmastia where the pockets are too close together. The pockets can be closed down a bit sometimes as well with strattice and you may be better off with smaller implants. An exam woudl be essential.
Steven Wallach, MD

Manhattan Plastic Surgeon

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