Can this still be just swelling or am I developing symmastia?

i'm 5'10", 135lbs, wide frame. i recently switched implants from 500cc hp silicone to 800cc mod+ saline implants filled to 800cc left and 960cc right, in the hopes of a more balanced/big look. at first i was just a bit worried, but recently i'm VERY worried.

Doctor Answers 9


It could be swelling but since you are worried and the implants are VERY close together in the center, you should see your PS for an in-person examination.


Toronto Plastic Surgeon
5.0 out of 5 stars 35 reviews


Based on your 4 week post op photo it does not look like you have symmastia, its likely just swelling. However, pushing the implants towards the middle will help in diagnosing symmastia if it exists. Thus, to truly tell that you don't have symmastia you need to be examined by your plastic surgeon. Hope this helps.

Luis H. Macias, MD, FACS
Los Angeles Plastic Surgeon
4.9 out of 5 stars 58 reviews


In the photos shown, it does not look like you have synmastia. It just appears that your breast are close together. Your right breast does seem larger now. It may even out if it is due to swelling, but may require adjusting the implant volume.

Don W. Griffin, MD
Nashville Plastic Surgeon
4.8 out of 5 stars 72 reviews

Breast Implants

It looks like swelling, if you go see your PS you could get a special bandage that some people use on the sternum in cases like this to prevent the swelling from going accross the midline

Ryan Neinstein, MD, FRCSC
New York Plastic Surgeon
4.9 out of 5 stars 72 reviews

Possible Symmastia But Too Early to Determine

It is still very early in your healing  stage. You are most likely experiencing swelling between the two breasts not #symmastia which is the inadequate space between breasts. This will improve with time and #swelling will subside.However, if you are not satisfied with your final results or if you have any concerns on your results and healing, it's best to consult with your plastic surgeon to further discuss your #options.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 109 reviews


Although these photos do not demonstrate symmastia I recall seeing another photo of you on this forum which does demonstrate symmastia.

Can this still be just swelling or am I developing symmastia?

NO! This is the width of the larger implant causing an optical illusion of symmastia. Best to understand the risks by using larger implants...

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

Implants too large

Your implants are too large and too wide for your frame that is why you are seeing such a close cleavage that does not look natural.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Synmastia repair in Los Angeles

I treat synmastia and it is hard to determine with static photos whether there is truly synmastia. I prefer a dynamic synmastia examination.

Raffy Karamanoukian Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
4.8 out of 5 stars 94 reviews

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