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Breast Implants Too Close Together - What Has Gone Wrong?

asked 5 months ago by Kandee in Munich (Germany)
Latest answer by Scott L. Replogle, MD
Question viewed 1,019 times
Tags: age 25-34, silicone implant, 4 years post-op, 350-399cc, high profile, placement

Hello, I am 29 years old, my height are 1,73 cm and I weight today 62 Kilogram (before the breast Augmentation I weighed 50 Kilogram). I had in 2007 a Breast Augmentation but I´m not very happy with the results. My Breast are too close together (no space between them!). I have high profile silicon implants in 380 cc. I´m going to change the Implants in April 2012 and I will like they bigger. What can I do or what the doctor should so that the results will be better (more space between them?

13 answers to Breast Implants Too Close Together - What Has Gone Wrong?

Breast implants too close together

In my opinion, the implant used for your augmentation was too wide for the width or your breast and the pocket to place it was created far too medial (to the center) such that the implant is centered to the medial side of the nipple-areola and there is borderline or true symmastia (connection between the breasts). It is very difficult to correct this, but the only option short of a full correction with dermal matrix grafting or a new implant pocket is to try to expand the lateral width... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Breast Implants Too Close Together - What Has Gone Wrong?

You are a 50Kg woman who after augmentation with way too large/wide implants weighs 12 Kg (26.4 pounds) more. Your implants, if they were 380cc weigh only 0.74Kg (or 1.6 pounds) but it is obvious that your chest wall was TOO narrow to accomodate them and the surgeon overly dissected the inner pockets resulting in "kissing implants", aka cyclops breasts or uniboob or Symastia. Your stating "I will like they bigger" partially explains why the surgeon put in... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Symmastia versus too large implant

Hello Kandee, It is difficult to tell whether or not you have symmastia, but I would be careful about rushing towards larger implants as they will quite possibly make the problem worse. You might be better off getting this chest problem fixed first. You need a good second opinion by a local qualified plastic surgeon. Best Regards, John Di Saia MD see video

John P. Di Saia, MD
Orange Plastic Surgeon

Breast implants are too close together

If the pocket is not centered in the breast, or the implant is too large for the skin envelope, the breasts may run together in the center, called symmastia. Once the implants lift the skin in the mid chest it can be very hard to correct, and a larger implant is likely to make matters much worse. If you are lucky, a smaller submuscular implant can improve things. Best of luck, peterejohnsonmd.com

Peter E. Johnson, MD
Chicago Plastic Surgeon

Symmastia

It looks like you have a symmastia. This happens more commonly when implants are placed above the muscle or if the muscle fibers are divided in the midline. Going with larger implants is probably not a good idea. You may even need a pocket change or strattice placed to adjust the pocket.

Steven Wallach, MD
Manhattan Plastic Surgeon

Breast Implant Malposition (Symmastia)?

Thank you for the question. Although it is not clear that you have true symmastia you definitely have medial breast implant malposition. Symmastia (or medial malposition or “uni-boob”) occurs when the breast implants move too far toward the midline--the two implants may actually touch one another in the center of the chest. If the horizontal muscle that is connected to the sternum and goes across the implant is cut during surgery, then the implant can move toward the... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

You can't go larger when you have symmastia

The natural separation between your breasts has been lost causing a symmastia (unibreast) deformity. These are a challenge to fix and much depends on whether they are above or below the muscle which you didn't mention. Acellular drmal matrix material can also help here. The main thing is that trying to go larger (this means even wider implants if you are already high profile) will dramatically increase the risk of failure of repairing the symmastia. If anything, to... more

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon

www.randcosmeticsurgery.com

I would not reccommend larger implants

The implants that you have are already probably too large for your body. If you go larger it will only exacerbate the issue. I agree that using Acellular dermal matrix to reinforce the medial pocket would be a good idea along with using a smaller implant to fit the width of your chest wall. Good luck, Dr T

Scott Tucker, MD
Winston Salem Plastic Surgeon

Symmastia

Looking at your photohraphs, it appaers to me that you have capsular contracture laterally and inferiorly. Capsulotomy to release the tightness and increasing the pocket size will help to relocate the implants and certainly some support medially will also contribute to a better outcome. I strongly caution not to go any bigger as that will defeat the purpose of increasing the pocket size.

Raj Chowdary, MD
Allentown Plastic Surgeon

Breast implant pockets can be separated with internal sutures or with Alloderm.

Hi. The implants are too close together, and they make your nipples point outward towards your arms. At the time of your surgery, the implant pockets were dissected too close to each other. Now, the inner edge of the implant pockets needs to be closed off, and the pockets need to be enlarged on the outside. This can be done reliably. see video

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast Implants too Close Together

Your implants do appear too close together and are close to a symmastia. If you get larger implants, they will either cause more fullness on the sides of your breasts or make this problem worse. Your surgeon can fix this problem but larger implants are not a good idea.

Karol A. Gutowski, MD
Chicago Plastic Surgeon

How to correct symmastia

When the breast implants are too close together it is called "symmastia" or "synmastia." If the implants are under the muscle, then the attachment of the muscle along the breastbone (sternum) usually prevents it. If above the muscle it can be more difficult to repair and larger implants can make it even worse, especially of you already have high profile. So if they are over the muscle then going under will help. If the are already under the muscle, then it needs to be... more

Richard Baxter, MD
Seattle Plastic Surgeon

Breast augmentation - redo

Dear kandee, there are several options. either the implant pocket can be altered, the style of the implant (measurements of the base, the projection of the implant) or sometimes both alterations are needed. you should discuss this in detail with you plastic surgeon and make sure that your PS understands what are you aiming for. best of luck, bianca knoll, MD frankfurt