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: 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!
Helpful
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.
Helpful
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.
Helpful
