Best route to take for symmastia revision? (Photos)

Question

I had a breast augmentation in late June of 2018. Right from the first day I knew something was wrong with my right implant (I have photos and screenshots of communications with my nurse). Fast forward: it’s now 2021 and I am sick of being in pain. It keeps getting worse and I would like some advice on what procedure to look up for a correction.

Daniel Barrett, MD · Answer

Dear CESad22,
based on your photos, you don't have symmastia. Breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Donald R. Revis Jr, MD · Answer

Good morning,
You do have a mild case of synmastia as well as some muscle contraction distortion. I actually repair a lot of these and did so yesterday for two patients- one from New York and the other from Georgia. I use the Original Internal Bra, my strong permanent internal suturing technique. I first developed this over 20 years ago, and today it is the most common revision procedure I perform, at least 5-6 times a week- it works and it lasts!

Connie Hiers, MD, FACS · Answer

Your implants are too large and heavy for your tissue and have caused the pulling and stretching. I would suggest going down in size and the pocket could be tightened as well.

Best route to take for symmastia revision? (Photos)

Answers (3)

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