Breast Augmentation: Q&A
Ask a QuestionSynmastia or Just Really Close Cleavage? (photo)
I'm 6 weeks post op today.I went to my cosmetic surgeon (yes consmetic:( wish I had used a board certified PS now) yesterday because I was afraid that I may have symmastia.He says he doesnt think so then tells me hes never seen it in person only in books & internet.He then told me they are to close & I would need a revision surgery.I'm not sure he knows....Does this look like symmastia??I'm not sure if it is or if its just really close cleavage.I have a consult in person with a PS not CS on 15th
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22 Doctor Answers |
Asked by
courtney2411
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Symmastia
Hi. From the photos, it does not appear to be true symmastia at this time, as the skin still appears correctly attached to the pre-sternal area. Hopefully, it will stay attached! Large implants, requesting tight cleavage, and pectus excavatum make this problem more likely - but it can usually be repaired surgically.
Get a consult from a local PS, as assessment from photos can be somewhat limited.
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Synmastia?
Your photos suggest that your implants are very close together but not true synmastia. The implants appear to be to large as well. Seeing a board certified plastic surgeon to discuss your options at this point is a good decision.
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Concerns about symmastia
Confused by all the answers? Your situation which is an incredibly common one should be a lesson to all those reading the answers provided by plastic surgeon experts. Though there is never any guarantee, when looking for a doctor to perform your cosmetic surgery (most), it would be very wise for your search to consider only plastic surgeons. Otherwise, it is buyer beware...
You don't have true symmastia yet but your implants are abnormally close and too large. You may very well...
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Symmastia vs. close cleavage
Thank you for your question and photographs. There is a very fine line between actual symmastia and just close cleavage. As you are just 6 weeks post-op, you may not have the final answer yet. It does look like your implants are positioned too close together and it may well be that you are on the verge of developing symmastia. You are doing the right thing by seeing a board certified plastic surgeon for an evaluation. You may benefit from having the outer portions of your pockets opened up...
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Breast augmentation -getting it right the first time
I would consider your posted photos symmastia and am very sorry you had to go through this. The implants are way too large for your body frame. In the bending over photo the right implant is so large it goes out past the edge of your body. The saddest thing is that you will have to remove the implants and start all over. You will be paying twice for something that should have been done once. The most important thing for you to do is pick an appropriate surgeon on the next round, make...
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Los Angeles Plastic Surgeon
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Yes, you have really close cleavage (which could be early symmastia).
Your implants are not centered beneath your nipples; they are medially displaced and would appear more natural if they were both slightly smaller, and more laterally positioned.
When you push your breasts together, if the skin above your breastbone pushes aways from the bony attachments, then this is symmastia. If the cleavage stays deep and attached, this is just "close" cleavage but could eventually develop into symmastia, particularly when you wear a bra that will naturally...
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Do I have symmastia?
You don't have symmastia in my opinion, and do not "need" a revision. The shape of your ribs influences final implant position, and you may have a forme fruste of pectus excavatum based on one photo. It is difficult to tell without exam. Even with revision by implant replacement, capsulorrhaphy, and other maneuvers, the result you desire may be difficult or impossible to achieve. Look at the positive: You're a thin woman who has true...
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Narrow cleavage is different from symmastia.
Pre-operative assessment with photos and a current examination is needed to give you advice. Your breast implants are very close together, your tissue is thin and your implants are too large for your chest. Even if there is still some tissue separating your breast contours (therefore not symmastia), you are very likely to develop problems as your tissues stretches and thins further.
Getting another opinion by a Plastic Surgeon is your best place to sort out your current...
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Synmastia after Breast Augmentation
From the photos that you show us, we can see that your frame is fairly petite, and that the implants are probably too large and medially (towards the middle of the body) displaced. It may not be actual synmastia, as the skin overlying the sternum appears to by adherent to that bone, and not lifted off of it. Talk to your surgeon, and see if he/she has any suggestions. You may need to replace the implants with smaller ones, or perhaps adjust the pockets or the placement of the implants. The...
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Symmastia
First, it is always helpful to see preop photos because some women with large natural breasts sometimes have this. But with implants, and jsut based on the photos, it looks like you have symmastia.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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