Breast implant revision to fix symmastia?

Hello I’m assuming the implants are currently sub muscular in position? If so, either plan would be a reasonable option. What is important in the correction of symmastia is a pocket change. In my experience, creation of a neo subpectoral pocket can be challenging if you have a very thin capsule. I rarely stage these procedures. The decision comes down to whether you prefer sub glandular or sub muscular implants. Often, for my patients who exercise heavily, I recommend sub glandular placement to reduce unwanted animation with weight lifting. However, if you are very thin, the trade-off would be increased risk of visibility with subglandular implants. You should choose a surgeon who is certified by the American Board of Plastic Surgery and has extensive experience in revision breast surgery. Good luck.

Hi Phenomenol,
Symmastia can be a challenging problem and as such there can be different solutions to it. Both proposed plans seem reasonable. As a surgeon experienced with implants both above and below the muscle and use of Galaflex as an internal bra, I prefer the second option considering some additional factors: You previously had saline implants which suggests your implants are under the muscle; therefore, going above the muscle can be a pristine pocket and less likely to cause symmastia recurrence. Galaflex can further reinforce this pocket and correct the symmastia. Lastly, since you weight train heavily, having your implants above the muscle will minimize the risk of movement and animation deformity with lifting and you would not have to adjust your activity level or workout regimen.
Best,
Dr. Zamani

Photos would have been helpful, but an examination is needed to be certain. Both plans do work for many women. You can keep saline unless placed in front of the muscle. I recommend going down in size for a smaller base.