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Symastia Repair: Can It Be Fixed with Perm Sutures with No Alloderm?

asked 9 months ago by Ariana Veri in Houston
Latest answer by Tom J. Pousti, MD
Question viewed 740 times
Tags: options, repair, sutures, symmastia

I am going back to the PS who did my first surgery. He wants to fix my symmastia by treating it like a "C.C.". he says it will be a 2 hour surgery and he is going to stich all around my lower breast... is this going to help my problem? am I making a Mistake by going back to him? does it sound right what he is doing? he is not useing alloderm is things going to be a problem.

11 answers to Symastia Repair: Can It Be Fixed with Perm Sutures with No Alloderm?

Symmastia surgery

Symmastia (medial malposition breast implants) can be corrected with high likelihood of success using medial breasts implant pocket permanent 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... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Synmastia after breast augmenetation

Symastia is not a very common complication of breast augmentation if certain rules of thumb are followed. Some of my patients request having a cleavage without a bra. Although this is surgically possible, not everybody can have this kind of result. In an attempt to create a cleavage without a bra, some surgeons dissect toward the middle aggressively. This means that, if an implant is placed under the muscle, the muscle’s attachments toward the middle are released, thus increasing the... more

Wilberto Cortes, MD
Houston Plastic Surgeon

Symmastia after breast augmentation

Symmastia can occur after breast augmentation; however, it is a challenging problem to correct. Most times, it occurs due to over-dissection of the implant pockets. Depending on how the augmentation was performed initially, symmastia can be corrected by 1) site change (from sub-glandular to sub-muscular plane), 2) placing sutures medially where the pectoralis muscle meets sternum (breast plate), or 3) placement of dermal matrix such as Alloderm. It would also help by using... more

Sugene Kim, MD
Houston Plastic Surgeon

Correction of Synmastia

Synmastia can be a challenging problem to fix. Synmastia clinically manifests as a "uni-breast" where the cleavage (space between breasts in the area of the chest plate) has been lost. Anatomically, usually it is because the medial aspect of each breast pocket has been over dissected or stretched out. If the implants were initially placed above the muscle, this can be improved with a site change surgery and suturing where the new implants are placed... more

C. Bob Basu, MD
Houston Plastic Surgeon

www.basuplasticsurgery.com

Fixing symmastia

There are many ways to fix this including implant removal and replacement later, pocket repair, changing the pocket, and ADM like Alloderm or Strattice. Yours isn't too severe looking so ask the doctor if he has any photos of someone like you to see if you like the result. If not, seek other opinions.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

Symmastia after breast implants can often be repaired without Alloderm.

Hi. Alloderm tends to be overused right now. Most of the time this problem can be corrected just using your own tissues. Whether or not you have faith in your surgeon is another issue. If you have any doubt, go elsewhere. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Symmastia Repair: Plane change and Implant downsize

Symmastia is a serious complication of breast augmentation surgery and is more common in subglandular breast augmentation with large breast implants. The repair can be difficult and can incorporate sutures (capsulorraphy) or acellular dermal matrix (Alloderm), but more predictable would be a plane change either subpectoral or subglandular, in combination with a breast implant downsize. Please see a board certified plastic surgeon who has experience in the repair of these problems. I hope... more

Andrew P. Trussler, MD
Dallas Plastic Surgeon

www.drtrussler.com

Breast Synmastia Repair

There are several options in correcting synmastia. After consultation and examination with your surgeon the various options can be best discussed.

Craig Mezrow, MS, MD
Philadelphia Plastic Surgeon

Synmastia repair after breast augmentation

Synmastia can be a complicated problem to fix. Like anything else, the cause of the problem needs to be understood prior to planning a repair. Simple reasons for synmastia include the use of too wide an implant for your chest width. More complicated reasons include too much release of your muscle attachments to the chest bone which allows the implants to slide to the middle. There are multiple options for repair (again depending on what seems to be the cause).... more

Naveen Setty, MD
Plano Plastic Surgeon

You can have your symmastia repired without Alloderm

If your surgeon feel comfortable and confident that he can fix the problem,you should give him the opportunity to fix it. You do not need AlloDerm . Please make sure to not increase the size of your breast implants at the same time.

Kamran Khoobehi, MD
New Orleans Plastic Surgeon

Symmastia repair - when to use Alloderm

In planning a repair of symmastia it is important to understand the causes. There are 2 factors that need to be taken into account: The first is implant diameter; if the implant is too wide then it will push into to repaired area and disrupt it if it isn't strong enough. This problem is related to the second factor, which is over-release of the muscle attachment along the breastbone, which can happen when trying to make a bigger pocket for a large implant. The... more