Are my breast implants too close together? 6 months post op, concerned about possible symmastia (photos)

You should contact the surgeon who did your Breast Augmentation. It is possible you may need a revision, if not now then in the future. You should ask about intermammary compression exercises or other techniques recommended by your surgeon that may help.

I would recommend going back to speak with your original surgeon. It is difficult to determine if this is a true symmastia from the photos alone without a physical exam. It appears that you have a slightly level of symmastia but hard to determine.

An exam is needed to know for sure but it does not appear from the photos that you have symmastia. Your breasts are very close together which is probably related to implant selection. If you are concerned you may want to exchange for smaller implants.

Based on your photographs, you still have some separation between the breasts, so technically you do not have symmastia. However, the breasts are very close together and I understand your concern. If you are unhappy with the results you might consider a revisional procedure. I would recommend smaller implants with a change of plane to a sub glandular, sub fascial, or neo sub pectoral pocket. I hope this helps.

Your pre-sternal skin is raised, your implants are touching or nearly touching, and that's symmastia. This is best fixed with a technique that re-establishes a new subpectoral pocket, as opposed to fixing the current pocket by capsulorrhaphy and mesh, which can fail and allow the implants to return back to the middle. Risk of failure increases with implant size when doing capsulorrhaphy and mesh, and your's are big for your anatomy. Neosubpectoral pocket creation allows the surgeon a 'fresh start' by dissecting your current capsule off of the underside of the muscle, creating new pockets that are farther apart (less dissecting in the midline, more dissecting laterally). Go to a Breast specialist!