Hi, I had symmastia repair 3 months ago and sadly it has not been successful. As far as I am aware, my surgeon has put stitches/ sutures inside of my breast to try and eliminate the uniboob. My 600cc implants which caused the problem were replaced with 400cc. What is my best option now? How long do I have to wait until another operation can be undertaken? Please see current pictures of my breasts at 3 months post op. Thanks in advance!
December 19, 2016
Answer: Symmastia repair has not been successful! What do I do now? Your plastic surgeon will be your best resource when it comes to your specific healing and concerns. Generally speaking, it does take time (several months) for patients to see the final outcome after this type of surgery. For example, swelling will dissipate and breast skin/tissue that was previously elevated will take time to "bounce back" after downsizing of breast implants and capsulorraphy surgery. I find that the use of compressive tape/dressings along with the "symmastia bra" may help during the healing process.If, in the longer term, you remain concerned, additional surgery may be necessary/helpful. Maneuvers may be helpful capsulorraphy, liposuction of the pre-sternal area, and the use of acellular dermal matrix along the medial breast borders. You may find the attached link helpful to you as you learn more. Best wishes.
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December 19, 2016
Answer: Symmastia repair has not been successful! What do I do now? Your plastic surgeon will be your best resource when it comes to your specific healing and concerns. Generally speaking, it does take time (several months) for patients to see the final outcome after this type of surgery. For example, swelling will dissipate and breast skin/tissue that was previously elevated will take time to "bounce back" after downsizing of breast implants and capsulorraphy surgery. I find that the use of compressive tape/dressings along with the "symmastia bra" may help during the healing process.If, in the longer term, you remain concerned, additional surgery may be necessary/helpful. Maneuvers may be helpful capsulorraphy, liposuction of the pre-sternal area, and the use of acellular dermal matrix along the medial breast borders. You may find the attached link helpful to you as you learn more. Best wishes.
Helpful
January 30, 2017
Answer: Symmastia Thanks for your question. Symmasita repair can be very challenging at times. Looking at your pictures, I believe that your 400 cc implants are still too large for your frame. The combination of the remaining breast tissue and the large implant makes it impossible for a successful repair of the symmastia. Not only the implants have moved medially to cause the symmastia, they have also migrated laterally in the axillary area as well. My recommendation would be to down size your implants and have have the pockets tightened and addressed with sutures and/or biologic meshes (ADM) to reinforce the repair. A second opinion is always a good idea. Good luck and I hope this was helpful. Ali Sadeghi MD FACS
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January 30, 2017
Answer: Symmastia Thanks for your question. Symmasita repair can be very challenging at times. Looking at your pictures, I believe that your 400 cc implants are still too large for your frame. The combination of the remaining breast tissue and the large implant makes it impossible for a successful repair of the symmastia. Not only the implants have moved medially to cause the symmastia, they have also migrated laterally in the axillary area as well. My recommendation would be to down size your implants and have have the pockets tightened and addressed with sutures and/or biologic meshes (ADM) to reinforce the repair. A second opinion is always a good idea. Good luck and I hope this was helpful. Ali Sadeghi MD FACS
Helpful