I just found out my surgeons game plan after the fact. I had significant symmastia of my left breast and needed repositioning. Going into the procedure there was no mention of him suturing onto my rib cartilage. So now I'm very nervous of the outcome and risks this may cause. I'm also concerned with how far apart they look. This is also day 1 post op. I will attach a photo of pre op and post op. Thanks!
Answer: Breast revision It sounds like your surgeon has the right plan but I advise you to take it easy and wear the bra non stop for the next 6 weeks until the internal scar sets and hopefully you are out of the woods. The other option would be to use an adm to recreate the medial aspect and cause a division and fix the symmastia.
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Answer: Breast revision It sounds like your surgeon has the right plan but I advise you to take it easy and wear the bra non stop for the next 6 weeks until the internal scar sets and hopefully you are out of the woods. The other option would be to use an adm to recreate the medial aspect and cause a division and fix the symmastia.
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October 23, 2017
Answer: Synmastia / Internal Bra Repair Good morning!I fix a LOT of synmastia cases- probably over 1000 total, and my Internal Bra repair is very similar. I use strong permanent sutures to reattach the tissues to the costal cartilage and sternum. It always looks funky to begin with, but this secure anchoring is necessary for a good reliable long term repair. The only real difference I can see from the photos you provided is that I am not a big fan of the separator type bras- I think a good repair doesn't need this and at worst the firm edges can chafe the skin and even cause abrasions. When I do use the separator type in cases where the patients have a lot of swelling or very thick subcutaneous tissues over the midline I prefer the ThongBra which is softer and less irritating.I have attached a link to my Synmastia Repair / Breast Augmentation Revision photo gallery for your review- you can see with this similar technique that it works and it lasts!
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October 23, 2017
Answer: Synmastia / Internal Bra Repair Good morning!I fix a LOT of synmastia cases- probably over 1000 total, and my Internal Bra repair is very similar. I use strong permanent sutures to reattach the tissues to the costal cartilage and sternum. It always looks funky to begin with, but this secure anchoring is necessary for a good reliable long term repair. The only real difference I can see from the photos you provided is that I am not a big fan of the separator type bras- I think a good repair doesn't need this and at worst the firm edges can chafe the skin and even cause abrasions. When I do use the separator type in cases where the patients have a lot of swelling or very thick subcutaneous tissues over the midline I prefer the ThongBra which is softer and less irritating.I have attached a link to my Synmastia Repair / Breast Augmentation Revision photo gallery for your review- you can see with this similar technique that it works and it lasts!
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October 22, 2017
Answer: Symmastia Correction Hello, It sound like you have had a standard repair of symmastia. The capsule on the ribs side is stuck to it, so the capsule that is sewn is on the rib or intercostal fascia between the ribs. Your breasts and the skin may relax and round out after the bra is removed. They may not seem so far apart then.
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October 22, 2017
Answer: Symmastia Correction Hello, It sound like you have had a standard repair of symmastia. The capsule on the ribs side is stuck to it, so the capsule that is sewn is on the rib or intercostal fascia between the ribs. Your breasts and the skin may relax and round out after the bra is removed. They may not seem so far apart then.
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October 22, 2017
Answer: Suturing into cartilage is standard The key to fixing symmastia is to close of the pocket. But the "back wall" often has very thin and weak tissue on top of the rib cartilage. Sometimes the only way to get a good bite is to sew into the cartilage. That is nothing for you to be concerned about.
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October 22, 2017
Answer: Suturing into cartilage is standard The key to fixing symmastia is to close of the pocket. But the "back wall" often has very thin and weak tissue on top of the rib cartilage. Sometimes the only way to get a good bite is to sew into the cartilage. That is nothing for you to be concerned about.
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October 21, 2017
Answer: Breast implant revision hello ajoe_90 This is a condition which can occur when the implants are too close together. Patients often refer to this as a “uniboob.” This can occur for the same reasons as displacement noted above, but in this case the pocket(s) is/are too far towards the center. Correction of this problem may involve using different implants such as textured, a smaller size, or a smaller base and placing the implants in a new pocket. On occasion, this may require surgery in more than one stage to allow the tissues to heal and then place the implants. If the implants have been placed above the muscle, converting them under the muscle frequently will help and, again, the use of a dermal substitute may be required for additional support if the tissues are thin. The techniques of capsulorrhaphy and neopectoral pockets may apply here as well.
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October 21, 2017
Answer: Breast implant revision hello ajoe_90 This is a condition which can occur when the implants are too close together. Patients often refer to this as a “uniboob.” This can occur for the same reasons as displacement noted above, but in this case the pocket(s) is/are too far towards the center. Correction of this problem may involve using different implants such as textured, a smaller size, or a smaller base and placing the implants in a new pocket. On occasion, this may require surgery in more than one stage to allow the tissues to heal and then place the implants. If the implants have been placed above the muscle, converting them under the muscle frequently will help and, again, the use of a dermal substitute may be required for additional support if the tissues are thin. The techniques of capsulorrhaphy and neopectoral pockets may apply here as well.
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