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Does Symmastia Get Worse over Time? or During/after Pregnancy?

asked 1 year ago by gapx in Marietta, GA
Latest answer by Robert Brueck, MD
Question viewed 639 times
Tags: 5 years post-op, complication, pregnancy, symmastia

I got breast implants 5 years ago and I have very small symmastia, I am planning to have a baby maybe in one or two years but I would like to know if the pregnancy will affect more my implant breast problem. Should I change my implants to a smaller size and get a surgery correction for the symmastia before I get pregnant? does symmastia get worse over time?

14 answers to Does Symmastia Get Worse over Time? or During/after Pregnancy?

+3

Symmastia and pregnancy

Your condition of symmastia shouldn't really change from pregnancy. Your breast implants are sitting too centrally in that condition and pregnancy should not alter this. Your tissues may change though and so I would wait until you are done having kids to do a correction. Remember that when correcting implant pocket problems, going bigger at the same time is usually the wrong thing to do.
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+2

Symmastia Correction Timing

Symmastia might get worse with time. Are your implants placed above or below the muscle. If the implants were placed above the muscle then converting them to a submuscular position might improve them. Acellular dermal grafts might be needed if the symmastia worsens. This is a difficult problem to correct. Before or after pregnancy? There is not an ideal time to do the surgery. Given your options, it is better to do this before the problem worsens... more
Elizabeth S. Harris, MD

San Antonio Plastic Surgeon
+2

Symmastia

Implants that are malpositioned could certainly make the condition worse, but more often than not, overtime the implants tend to migrate laterally and inferiorly more than medially.
Steven Wallach, MD

Manhattan Plastic Surgeon
+2

Breast implants, breast augmentation, synmastia

Malpositioned implants can shift further over time. The problem with synmastia is that the frequently is not muscle attatchment medially and this allows the implant to move in that direction. Increased breast size with pregnancy could make this problem appear worse.
David L. Abramson, MD

New York Plastic Surgeon

www.drabramson.com

+2

Pregnancy and synmastia

You say that you have a "very small" synmastia. To me this means that your two breast pockets are separate, but the tissue between them is tented a bit. In over 20 years and thousands of breast augmentations I have never seen a stable breast pocket get larger or merge with another during pregnancy. Your breasts may get larger and touch more though making the problem look worse while your breasts are swollen. Synmastia correction is best accomplished with the... more
Lori H. Saltz, MD

San Diego Plastic Surgeon
+2

Symmastia and pregnancy

There is nothing to suggest that symmastia will get worse with pregnancy if your breast has been stable over five years. Over a life time as the breast ages there can be more fatty infiltration within the breast tissue and the breast can become more 'matronly' with more cleavage and perhaps more of a symmastia appearance. Reduce the size of implants if the look is your goal, and don't' let a future family be the deciding factor. Best of luck, peterejohnsonmd more
Peter E. Johnson, MD

Chicago Plastic Surgeon

www.peterejohnsonmd.com

+2

Symmastia and breast implants

It is impossible to answer your question because it is like trying to predict the future. If you have had stable symmastia for 5 years it is unlikely to get worse. That does not mean it will not. If you add pregnancy to the mix it depends on how much your breasts engorge whether or not you breast feed etc. but is still not predictable with 100% accuracy. It does not sound like it is very severe since you waited this long to fix it but you did not post a photo. What you consider small... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+2

Symmastia and pregnancy

Symmastia may worsen over time, and the effects of pregnancy on breast size / shape cannot be predicted in advance. If you have noted worsening of your symmastia over time, you may wish to have it corrected now, because once you become pregnant you will need to wait until after you have had the baby and stopped producing milk. If your "very small" symmastia has been stable, you may want to wait until after any future pregnancies, to see if other breast changes occur... more
Craig S. Rock, MD

Houston Plastic Surgeon
+2

Symmastia (Uniboob) Gets Worse with Time

Re; "Does Symmastia Get Worse over Time? or During/after Pregnancy?" Symmastia is caused by a combination of using large breast implants and creating large inner pockets for them, thereby nearly obliterating or removing the natural bridge barrier between the breasts. The only solution is their replacement with smaller breast implants and reconstruction in which the inner connection is obliterated - now commonly done with a biological sheets such as Alloderm or Strattice... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+2

Does Symmastia Get Worse over Time? or During/after Pregnancy?

Very hard question to advise. There is no prefect answer. I believe the risk is very small to have worsening of the symmastia with a pregnancy, but there are always exceptions. If you are basing your future pregnancy upon the symmastia - DON'T. The choice of trying to correct prior to pregnancy or later is purely yours. Personally I would wait.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+2

Symmastia Repair

Symmastia should not be effected by pregnancy however it may get worse with time. I recommend that symmastia be corrected as soon as possible as long as the patient is not presently pregnant or breast feeding. This is a difficult problem to correct in the best of hands. Implants should remain the same size or smaller and a biocompatible material such Alloderm or Strattice should be used to help recreate a natural breast cleavage area and reposition the implants properly... more
Adam Hamawy, MD

Westchester Plastic Surgeon
+2

Does symmastia get worse over time? Does pregnancy affect it?

I is possible that symmastia could get worse over time. If you have a large implant, every time you sleep on the side you are expanding the capsule more medially. It is good that you are accepting to go smaller. This will help the repair of the pocket. They might have to use an ADM to repair the capsule. Pregnancy should not affect the situation. you can do the repair before or after the pregnancy.
Farhad Rafizadeh, MD

Morristown Plastic Surgeon
+1

Symatia post aug

This conditon could worsen simply because yopur breats will enlarge with your pregnacy.So my recommendation would be to have ht ebay first and then get reevaluated afterwards.
Robert Brueck, MD

Fort Myers Plastic Surgeon
+1

Symmastia and time.

Symmastia can definitely worsen over time. Oversized implants and aggressive medial dissection are the typical causes of symmastia. To be clear, symmastia involves the migration of an implant over the midline of the sternum. Tenting of the skin between breasts does not constitute symmastia. It is uncertain as to whether pregnancy will make the situation worse, however I am inclined to think that it will not. Whether or not to have a correction prior to pregnancy is more of a personal... more
David Bogue, MD

Boca Raton Plastic Surgeon

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