I’m 4 months PO 5’3 116lbs. I have 400cc L and 400cc R. (Under the muscle )I think I’m developing Symmastia. I’ve contact my PS and he said it was swelling and I just need another opinion.
November 8, 2018
Answer: Symmastia Dear Paula1012,symmastia is a rare breast condition that occurs when soft web-like breast tissue pulls breast implants towards each other, until the breasts meet uncomfortably at the center of the chest near the sternum (the body’s midline point). Given this abnormal union, symmastia is known by many other names, including breadloafing, kissing breast implants, and the uniboob.Unfortunately, this condition causes the surrounding skin and pectoral muscles to literally lift off the breast bone as the implants are pulled together. This consequently causes pain and discomfort, as well as obvious distortion of the breasts, which can only be disguised with clothing that does not show cleavage.You should consult with a board certified plastic surgeon for proper assessment. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
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November 8, 2018
Answer: Symmastia Dear Paula1012,symmastia is a rare breast condition that occurs when soft web-like breast tissue pulls breast implants towards each other, until the breasts meet uncomfortably at the center of the chest near the sternum (the body’s midline point). Given this abnormal union, symmastia is known by many other names, including breadloafing, kissing breast implants, and the uniboob.Unfortunately, this condition causes the surrounding skin and pectoral muscles to literally lift off the breast bone as the implants are pulled together. This consequently causes pain and discomfort, as well as obvious distortion of the breasts, which can only be disguised with clothing that does not show cleavage.You should consult with a board certified plastic surgeon for proper assessment. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Helpful
November 8, 2018
Answer: Breast Augmentation Thank you for your question! It does appear as though the skin directly above your sternum is stretched but you do not have synmastia to the full extent, at this point. In a true under the muscle augmentation, it is impossible to get synmastia because the muscle is never released fully from its attachment to the sternum. Some surgeons will to varying degrees release the muscle from inferior to superior along its medial attachment of the sternum. So although it is not common with a submuscular augmentation, it is certainly possible. In your case, it seems as you have fairly large implants and good skin quality. Sometimes if you give the the skin a chance to accommodate the stretch and give the implants a chance to descend with gravity the result will improve markedly over time. Since you are 4 months out, I wouldn't expect much "swelling" to be causing this deformity. I would suggest giving it a little more time for the skin accommodation and descent of the implant, but if the stretching persists you may consider seeing a surgeon to either fix the synmastia (if that is the culprit based on physical exam), vs. downsize your implants slightly. Best of luck to you!
Helpful
November 8, 2018
Answer: Breast Augmentation Thank you for your question! It does appear as though the skin directly above your sternum is stretched but you do not have synmastia to the full extent, at this point. In a true under the muscle augmentation, it is impossible to get synmastia because the muscle is never released fully from its attachment to the sternum. Some surgeons will to varying degrees release the muscle from inferior to superior along its medial attachment of the sternum. So although it is not common with a submuscular augmentation, it is certainly possible. In your case, it seems as you have fairly large implants and good skin quality. Sometimes if you give the the skin a chance to accommodate the stretch and give the implants a chance to descend with gravity the result will improve markedly over time. Since you are 4 months out, I wouldn't expect much "swelling" to be causing this deformity. I would suggest giving it a little more time for the skin accommodation and descent of the implant, but if the stretching persists you may consider seeing a surgeon to either fix the synmastia (if that is the culprit based on physical exam), vs. downsize your implants slightly. Best of luck to you!
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