Symmastia repair after explant with sutures only

Hello, thank you for your question. Symmastia can be a complex issue, especially after long-term implant placement. Please see the attached video that discusses your question in detail. While non-surgical methods may offer temporary support or minor improvements, they are unlikely to provide a definitive solution for symmastia. If you're considering any non-invasive methods, consult with a plastic surgeon or a medical professional experienced in breast health for tailored advice based on your specific situation. They can guide you on the best path forward, whether that involves further surgical options or a focus on non-surgical support.

Dear Warmhearted378148,
based on your photo, it looks like you don't have symmastia. Also, you are in early postoperative period so it is best to wait to fully heal and see the final results.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello @Warmhearted378148, thank you for your question. A personalized consultation is needed to make an adequate surgical that will prevent you from having to deal with the negative effects of bad practice later on. For more information and recommendations, it is best to consult with one or several board certified plastic surgeons.

Best wishes! Alan Gonzalez MD, FACS. International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Thank you for sharing your question and photograph. It would be helpful to see any pictures you may have from before your augmentation as well as with your augmentation to provide the best information. That said, once implants are removed, the synmastia is no longer present, and no repair is typically required. Hope this helps.

Without the implants lifting the tissues you may not need further intervention. Compression may be helpful as you heal. I encourage you to speak with your surgeon for guidance.

You actually may do fairly well without any further repair. Do wear tight compressing garments and see how you do.

Now that the implants are removed, this may improve on its own. I would wear a symmastia prevention bra for two months and see where we are

Send Masta is usually an implant related condition. Without having implants lifting the soft tissue off the chest wall synmastia typically doesn’t happen.
I suggest you talk to your plastic surgeon about ways of improving the contour. Perhaps, careful liposuction in the cleavage could improve the contour. With the implants out, the pockets have probably collapsed, and it may be challenging to tack down the skin to the sternum without creating indentations. Is this correction really necessary?
Synmastia repair is not always easy or straight forward.
Best,
Matt Hagstrom, MD