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.
Answer: Am I developing Symmastia? My skin is lifted off the sternum. It certainly does appear as though you are developing symmastia. It's less common with under the muscle placement, but it's even less common to have your swelling start to INCREASE at 4 months. I would suggest having an in-person consultation by a local breast implant revision expert to be properly assessed for a second opinion. Hope that helps!
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Answer: Am I developing Symmastia? My skin is lifted off the sternum. It certainly does appear as though you are developing symmastia. It's less common with under the muscle placement, but it's even less common to have your swelling start to INCREASE at 4 months. I would suggest having an in-person consultation by a local breast implant revision expert to be properly assessed for a second opinion. Hope that helps!
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November 8, 2018
Answer: Am I developing Symmastia? My skin is lifted off the sternum. I am sorry to hear about your concerns after breast surgery. Although symmastia is not present, I do understand your concerns about the breast implants being quite close to one another in the midline. if breast implant positioning is of concern, you will benefit from bilateral medial breast capsulorraphy (internal suture “repair”) as well as lateral capsulotomy to improve your situation. In my practice, having used a variety of “techniques” for correction of medial implant displacement and symmastia, I find that the most reliable technique involves a 2 layer capsulorrhaphy (internal suture repair of the breast implant pockets along the cleavage area). Often, the use of acellular dermal matrix is helpful also. I have also been pleased with the (at least partial) correction of skin tenting that can be achieved with the use of the acellular dermal matrix. As mentioned above, it is usually necessary to “open” (reverse capsulotomy) the breast implant pocket laterally (outer breast fold) to allow for positioning of the implant centrally behind the breast mound. This maneuver may also decrease the amount of implant pressure against the medial suture line. It may also be necessary to change breast implant profile or volume to help prevent chances of recurrence of breast implant malposition. This procedure will serve to improve the position of your breast implants on your chest wall, better center the nipple/areola complexes on each breast mound. Careful selection of plastic surgeon will be one of the keys to success: make sure that he/she is a board-certified plastic surgeon who can demonstrate lots of experience helping patients with this type of revisionary breast surgery. I also find that careful attention to postoperative activity restrictions is key to success with this type of surgery and other types of implant malposition revisionary breast surgery. I hope this helps.
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November 8, 2018
Answer: Am I developing Symmastia? My skin is lifted off the sternum. I am sorry to hear about your concerns after breast surgery. Although symmastia is not present, I do understand your concerns about the breast implants being quite close to one another in the midline. if breast implant positioning is of concern, you will benefit from bilateral medial breast capsulorraphy (internal suture “repair”) as well as lateral capsulotomy to improve your situation. In my practice, having used a variety of “techniques” for correction of medial implant displacement and symmastia, I find that the most reliable technique involves a 2 layer capsulorrhaphy (internal suture repair of the breast implant pockets along the cleavage area). Often, the use of acellular dermal matrix is helpful also. I have also been pleased with the (at least partial) correction of skin tenting that can be achieved with the use of the acellular dermal matrix. As mentioned above, it is usually necessary to “open” (reverse capsulotomy) the breast implant pocket laterally (outer breast fold) to allow for positioning of the implant centrally behind the breast mound. This maneuver may also decrease the amount of implant pressure against the medial suture line. It may also be necessary to change breast implant profile or volume to help prevent chances of recurrence of breast implant malposition. This procedure will serve to improve the position of your breast implants on your chest wall, better center the nipple/areola complexes on each breast mound. Careful selection of plastic surgeon will be one of the keys to success: make sure that he/she is a board-certified plastic surgeon who can demonstrate lots of experience helping patients with this type of revisionary breast surgery. I also find that careful attention to postoperative activity restrictions is key to success with this type of surgery and other types of implant malposition revisionary breast surgery. I hope this helps.
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November 8, 2018
Answer: Symmastia A small amount of skin evelation is usually not a problem as long as the implant pockets are still distinct and the implants are “staying on their own side.” If the midline is violated a revision procedure may be recommended.I would recommend seeing another Board-Certified surgeon for a second opinion.
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November 8, 2018
Answer: Symmastia A small amount of skin evelation is usually not a problem as long as the implant pockets are still distinct and the implants are “staying on their own side.” If the midline is violated a revision procedure may be recommended.I would recommend seeing another Board-Certified surgeon for a second opinion.
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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 Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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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 Certified, American Board of Plastic Surgery Member, American Society of Plastic Surgery Member, American Society of Aesthetic Plastic Surgery
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Answer: Photos confirm skin elevated off sternum between mounds but did you start with that (as some people do)? And if not, how extensive of a medial pocket release was done (only your surgeons knows)? And if the medial pocket release was not aggressive, you will not have symmastia and this will improve with time. If aggressive, then there is a chance this is developing. You need to trust your surgeon to be truthful with you and to have your interests first and foremost as you are walking advertising and he/she should want the absolute best outcome for you. So follow his/her instructions and if you do develop clear symmastia, your surgeon should be very motivated to repair this under the known revision policy (there is one right?) to make it right.
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Answer: Photos confirm skin elevated off sternum between mounds but did you start with that (as some people do)? And if not, how extensive of a medial pocket release was done (only your surgeons knows)? And if the medial pocket release was not aggressive, you will not have symmastia and this will improve with time. If aggressive, then there is a chance this is developing. You need to trust your surgeon to be truthful with you and to have your interests first and foremost as you are walking advertising and he/she should want the absolute best outcome for you. So follow his/her instructions and if you do develop clear symmastia, your surgeon should be very motivated to repair this under the known revision policy (there is one right?) to make it right.
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