Are my breasts too close? Do I have symmastia? (Photo)

Question

It's been 35 days since my BA surgery, I am 5'9" and 130 lbs same before surgery, my Dr put me 375cc HP over the muscle, when I have my oppoinments with him, He just sees me laying down, checos my nose (because I had a rinoplasty too) and says that my boobs looks wonderful, but I can not stop thinking that there is something wrong and He can't admit it.

Jose M. Soler-Baillo, MD, MS · Answer

Thank you for your question and photos.  It appears that your breasts do not demonstrate symmastia although they are extremely close together.  You may want to discuss the possibility of an implant exchange to something that is more appropriate given your anatomy.All the best,Dr. ResultsMiami, FL

Jed H. Horowitz, MD, FACS · Answer

Symmastia is a condition which can occur when the implants are too close together. Patients often refer to this as a “uniboob.” Occasionally, the space or pocket for the breast implant is created towards the center, or the tissue stretches, forcing  the implants to fall too much towards the center of the breasts. Although your breasts appear close together in the center, it doesn't appear to be a case of #symmastia. Also, it is still quite early into your post-op healing stage. Therefore, what you may be experience is swelling which can be mistaken as symmastia.  If you are not satisfied with your #final #results or if there are any concerns, it's best to consult with your plastic surgeon to further discuss your #options.

Jonathan Saunders, MD · Answer

you do not have synmastia, , but they are close together. I am curious why you decided to go over the muscle. if there is no change in 6 months , you may want to think about a revision

Martin Jugenburg, MD · Answer

Thank you for your question and photos. I would recommend speaking to your plastic surgeon as in-person assessments are always best. If he always sees you while lying down, you can try standing up and pointing out what concerns you exactly. All the best,

Farah Naz Khan, MD · Answer

You appear to have large implants for your breast pocket; therefore they are situated very close together. The HP further gives them a very round, stuck on appearance. Best to address your concerns directly with your PS to see how a revision could help you achieve a more natural breast appearance. Good luck!

Curtis Wong, MD · Answer

are not producing symmastia by definition as that would mean the skin between the mounds was tented up... if it is, then you do have symmastia.  Your breast mounds are touching which is not the ideal when undressed.  It would be of benefit to at least increase the lateral pocket to allow your implants to slide more sideways and it would also centralize your nipple over the mounds.  It will give you side boob and if this is something you don't want, then you simply have to go smaller.

Tom J. Pousti, MD · Answer

I am sorry to hear about your concerns after breast augmentation  surgery. Although your concerns are understandable, your pictures do not demonstrate symmastia. You are correct in that your breast implants are quite close to the mid line and some skin elevation (tenting) may be present. If, in the long term, we remain concerned about the breast implant positioning ("medial malposition"), additional surgery (capsulorraphy) will be necessary to increase the space between the breast implants.  As the position of the breast implants improve, the position of each nipple/areola complex on each individual breast mound will also improve (better centered). You may find the attached link, demonstrating cases of symmastia helpful to your peace of mind. You will also find a separate page, demonstrating medial malposition, helpful to you as well. Best wishes.

Brooke R. Seckel, MD, FACS (retired) · Answer

Based on your photos you do not have symmastia.  However your breast implants are very close together and because of this the appearance is not ideal.  Weight 3-4 months because breast implants 10 teardrop and separate with time.  However after 3 or 4 months if you are decidedly unhappy then a revision to place the implants beneath the chest muscle may be your best option.

Christopher Costanzo, MD (retired) · Answer

Synmastia is when the two sides of the breast are lifted off the skin allowing the two implants to be as one.I doesn't look like you have true Synmastia, but are very close to that situation.  Address your concerns to your PS.

Are my breasts too close? Do I have symmastia? (Photo)

Answers (9)

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