Do I have subglandular symmastia? Do I need revision surgery? (Photo)

Question

I got my breast augmentation over 2 years ago and I’m wondering if I have symmastia. PPI don’t feel like I have a proper cleavage look of 2 separate breasts when I am wearing low cut tops. If so, do I need revision surgery or is there anything else I can do? Please help!!!

Chul Hwan Seul, MD, PhD · Answer

With the occurrence of the Implant's medial malposition, we have a symmastia. If you wear a bra that gathers a lot of chest, this happens often. Avoid chest-gathering bras as much as possible, and wearing a correction bra that can open both prostheses will help prevent symmastia from deteriorating, but this will eventually require surgical correction.

Daniel Barrett, MD · Answer

Dear Kagaroosmarth,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Douglas Taranow, DO, FACOS · Answer

It appears from your photos that you do indeed have a mild symmastia.  Surgical revision using either sutures alone or a patch (like ADM-acellular Dermal Matrix [human or pig skin that is processed to remove the top layer of skin and all cellular components so no diseases or reactions) would resolve your issues.

Best wishes.
Dr. T

Connie Hiers, MD, FACS · Answer

Your implants are a little big for your pockets, so they will sit close together. You can try sleeping with a towel between your breasts at night, or go back and discuss this with your surgeon. I would avoid wearing bras and tight shirts that push your breasts together a well.  Smaller implants would fit your bases better.

Do I have subglandular symmastia? Do I need revision surgery? (Photo)

Answers (4)

Answer: Implants

Answer: Implants

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Everything you need to know about Breast Implant Revision

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Do I have subglandular symmastia? Do I need revision surgery? (Photo)

Answers (4)

Answer: Implants

Answer: Implants

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.