I want to get a breast aug but am concerned with how it will look after due to excess fat/skin I have above my sternum. In the pic, you can see 1 & 2 that my breasts are separate when standing. But while I’m sitting in 3, you can see I get a fold in the center of my chest that I am able to pinch in 4. I am concerned this could result in symmastia if I get implants. Would lipo fix this? Would it rresult in symmastia. Would a regular breast aug work just fine with no issues?
Answer: Symmastia Dear Intelligent383353,
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Answer: Symmastia Dear Intelligent383353,
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April 19, 2023
Answer: Breast Lipo for possible Symmastia Thank you for your query. There is a significant amount of skin stretching that happens with breast implants, that may correct your issue, especially when done after understanding your concerns. However, if you still feel that there is excess tissue and fat, a very careful micro liposuction may help as would Invasive RF treatment. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!
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April 19, 2023
Answer: Breast Lipo for possible Symmastia Thank you for your query. There is a significant amount of skin stretching that happens with breast implants, that may correct your issue, especially when done after understanding your concerns. However, if you still feel that there is excess tissue and fat, a very careful micro liposuction may help as would Invasive RF treatment. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!
Helpful
April 19, 2023
Answer: Breast Aug Should be Fine, Skin Excision In general, a breast augmentation will not worsen this problem. Most augmentations are performed below the muscle and this will keep the implant from migrating too far towards the center of the chest wall. Unfortunately it appears that you have a significant amount of skin in that area which can only be excised as a general rule. However, scars reaching across the midline have a tendency to keloid therefore it may require excision in multiple attempts. An in person physical exam with a board certified plastic surgeon should be able to tell exactly how to proceed.
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April 19, 2023
Answer: Breast Aug Should be Fine, Skin Excision In general, a breast augmentation will not worsen this problem. Most augmentations are performed below the muscle and this will keep the implant from migrating too far towards the center of the chest wall. Unfortunately it appears that you have a significant amount of skin in that area which can only be excised as a general rule. However, scars reaching across the midline have a tendency to keloid therefore it may require excision in multiple attempts. An in person physical exam with a board certified plastic surgeon should be able to tell exactly how to proceed.
Helpful
April 16, 2023
Answer: Liposuction of sternal area It may not be a bad idea to consider doing limitted liposuction in sternal area to sligtly widen and thin down starnal skin attachements and prevent symmastia after augmentation. This can be done in local anesthesia, a soft mold could be used to further shape the area of adherence. In that case, I would suggest delaying augmentation for 6 months or so. Hope this helps.
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April 16, 2023
Answer: Liposuction of sternal area It may not be a bad idea to consider doing limitted liposuction in sternal area to sligtly widen and thin down starnal skin attachements and prevent symmastia after augmentation. This can be done in local anesthesia, a soft mold could be used to further shape the area of adherence. In that case, I would suggest delaying augmentation for 6 months or so. Hope this helps.
Helpful
April 16, 2023
Answer: Good question. Thank you for your question and photos. A specific treatment recommendation can only be provided following an evaluation in person by a board certified plastic surgeon. That said, liposuction is likely to improve or correct the fullness you appear to have between your inframammary folds, and is unlikely to worsen or exaggerate any element of synmastia. Breast augmentation needs to be precise with properly selected implants. The larger and wider the implant the greater the risk of synmastia, and in my practice this is also one of the few indications for which I would consider textured rather than smooth implants.
Helpful
April 16, 2023
Answer: Good question. Thank you for your question and photos. A specific treatment recommendation can only be provided following an evaluation in person by a board certified plastic surgeon. That said, liposuction is likely to improve or correct the fullness you appear to have between your inframammary folds, and is unlikely to worsen or exaggerate any element of synmastia. Breast augmentation needs to be precise with properly selected implants. The larger and wider the implant the greater the risk of synmastia, and in my practice this is also one of the few indications for which I would consider textured rather than smooth implants.
Helpful
