I Don't Have Symmastia but Still Looks Like Uniboob. Any Method to Restore my Skin Tissue? (photo)

Question

After surgery(June)my doctor said i have symmastia so I wore the thongbra.Now standing upright it’s perfect but if my breasts are getting lift up the skin is too and looks like I have uniboob.However the implants are staying in their place it’s my skin causing the problem.Going submuscular won’t tighten my skin and may still lift up whenever my breasts do.My only choice is to tighten up my skin tissue.But most methoods are firming only the top layers of the skin,not the tissue itself.Any advice?

Gerald Minniti, MD, FACS · Answer

Hello,

	You are absolutely right, your breasts look great when you stand upright!  However, they are coming together and lifting the skin off of your sternum when you lean forward.  Unfortunately, this is symmastia and it's correction will require more than a non-surgical technique like skin tightening (BTW, your skin is tight enough there, and couldn't be tighter.)

	Regardless of the placement of your implants above or below the muscle, there are a few good options for surgical correction.  Revision breast surgery is complicated and should be performed by very experienced surgeons.  Be sure yours has experience, otherwise do yourself a favor and find someone who does. 

	I think you should be able to resolve this issue and have a great result.

	Best of luck!

Jed H. Horowitz, MD, FACS · Answer

Symmastia is a condition which can occur when the implants are too close together. Patients often refer to this as a “uniboob.” Occasionally, the space or pocket for the breast implant is created towards the center, or the tissue stretches, forcing  the implants to fall too much towards the center of the breasts. . However, in your case, #symmastia appears possible when both arms are down at your sides. Therefore, it is best to consult with your plastic surgeon to better confirm and determine how it can be addressed if necessary.

Larry S. Nichter, MD, MS, FACS · Answer

It does not look like symmastia according to your pictures but you should consult with your surgeon to be sure. Symmastia is a condition which can occur when the implants are too close together. Patients often refer to this as a “uniboob.” This can occur for the same reasons as displacement, but in this case the pocket(s) is/are too far towards the center.Correction of this problem may involve using different implants such as textured, a smaller size, or a smaller base and placing the implants in a new pocket. On occasion, this may require surgery in more than one stage to allow the tissues to heal and then place the implants. If the implants have been placed above the muscle, converting them under the muscle frequently will help and, again, the use of a dermal substitute may be required for additional support if the tissues are thin. The techniques of capsulorrhaphy and neopectoral pockets may apply here as well.

Randy Proffitt, MD · Answer

Yes it can be fixed.  It will require surgery.  Either "taching sutures" or placing the implants under the muscle is required.  Most plastic surgeons don't see this often as it is an infrequent problem so talk to your surgeon or find someone with lots of breast experience.

C. Andrew Salzberg, MD · Answer

By definition, you do have "breasts together and need to have a separation either by using your own tissue,adding alloderm skin replacement or in addition put implants below the muscle. This must be done by an expert because it tends to reoccur.

I Don't Have Symmastia but Still Looks Like Uniboob. Any Method to Restore my Skin Tissue? (photo)

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Answer: Symmastia

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Answer: Symmastia Problem

Answer: Symmastia Problem

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I Don't Have Symmastia but Still Looks Like Uniboob. Any Method to Restore my Skin Tissue? (photo)

Answers (10)

Answer: Symmastia

Answer: Symmastia

Answer: Symmastia Problem

Answer: Symmastia Problem

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Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.