Symmastia Repair. Is this treatable with another revision? (Photo)

Question

I had mild congenital symmastia and had a BA that resulted in severe symmastia. I have had one revision done to change my implants (moderate to high profile, 385 CCs) and added Galaflex mesh. The revision was not successful. I am wondering if this condition is treatable with another revision or if this is a permanent, life-long look I know have. If treatable, do you suggest I remove implants?

Gianfranco Frojo, MD · Answer

This is a complex problem to address. I would recommend placing significantly smaller implants, making a new pocket (neo-subpectoral pocket), adding more Galaflex to help treat the symmastia, and performing a breast lift. The placement of very large implants in a patient with some baseline symmastia can create significant problems and frankly make the symmastia look extremely exaggerated due to the tension on the medial pole/origins of the breast footprint on the chest wall. change the breast shape. I would recommend seeing a board-certified or board-eligible plastic surgeon with actual training in plastic surgery and an aesthetic fellowship. I find it also very beneficial if the surgeon has 3D imaging that can help simulate your revisionary surgery prior to the actual case.  Best of luck!

Daniel Barrett, MD · Answer

Dear Intellectual335877,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hilton Becker, MD · Answer

There are several means of treating symmastia
These include 
Replace with smaller implants
Pocket change 
Mesh support 
Use of adjustable implant to allow for slow post operative fill in order to allow adhesion of the cleavage area

Douglas Taranow, DO, FACOS · Answer

You require a revision procedure with smaller implants, plication (stitching of the medial pocket) and possibly even liposuction of the cleavage to reduce any fat below the skin.

Connie Hiers, MD, FACS · Answer

You would need to go down in size and have smaller based implants plus more medial pocket tightening done to make a change.

Symmastia Repair. Is this treatable with another revision? (Photo)

Answers (5)

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