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

Question

I am 6 months post op from my breast augmentation and feel that my breasts are too close together and I may be developing symmastia. I received 385 HP silicone implants under the muscle. When I wear a push up bra you cannot notice but when I wear other types of clothing I feel that it becomes very noticeable. I am starting to be a bit self conscious about it and unsure on what to do.

Joe Gryskiewicz, MD, FACS · Answer

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.

Karl William Schwarz, MD · Answer

It looks like you don't have symmastia at this point, but rather just have implants that are very large for your breast. When an implant is too big for the breast the implant will start to steal skin from the surrounding areas to accommodate the implant. Your implants have taken most of the needed skin from the medial part of the chest thus giving you very, very close cleavage to the point where it does look a little un-natural. The nipple position starts to move towards the outside of the breast as they have done here as symmastia develops.

If you wanted to have cleavage as you had before than you would need to downsize your implant back to a size that fits within the breast itself and be an appropriate size so it doesn't need to steal skin. I would likely also perform a repair for symmastia even though it doesn't look like you have true symmastia but I would still close the pocket in the medial part to restore your cleavage to a more natural look.

I see this is Miami quite often as there is a real demand here for very large implants that don't fit the patient's breast.

Gianfranco Frojo, MD · Answer

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.

Camille Cash, MD · Answer

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.

Matthew S. Kilgo, MD · Answer

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.

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

Answers (9)

Answer: Symmastia?

Answer: Symmastia?

Answer: Possible symmastia

Answer: Possible symmastia

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Everything you need to know about Breast Implants

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

Answers (9)

Answer: Symmastia?

Answer: Symmastia?

Answer: Possible symmastia

Answer: Possible symmastia

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Recommended reading

Everything you need to know about Breast Implants

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