I have a lift and implant Nov 14 and my boobs are huge. He said he did a “small d” and put 330cc narrow high profile silicone implant. He removed 90g of natural tissue. My breasts we stretched to the max and the skin came off my sternum. It has gone down a bit but I hate my cleavage and the look when I wear a bra. I also don’t like the side boob. My doctor charged me ALOT for this procedure and keeps saying “I look great”. Do I just need to wait and see if they drop?There is no gap between boobs
Answer: Conservative correction of symmastia Photos without bra would show deformity (symmastia) if any (?) better. At this point you may still try to use a "symmastia prevention bra" (thong bra) which you can find on internet and place a role of gauze between breast to force sternal skin to attach to the bone. If this doesn't work after 2-3 months you should discuss surgical repair with your surgeon. In that time lateral pocket of the breasts may be expanded and implants placed in slightly more lateral position to improve profile look. Good luck.
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Answer: Conservative correction of symmastia Photos without bra would show deformity (symmastia) if any (?) better. At this point you may still try to use a "symmastia prevention bra" (thong bra) which you can find on internet and place a role of gauze between breast to force sternal skin to attach to the bone. If this doesn't work after 2-3 months you should discuss surgical repair with your surgeon. In that time lateral pocket of the breasts may be expanded and implants placed in slightly more lateral position to improve profile look. Good luck.
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February 5, 2018
Answer: Symmastia Hello,Although there appears to be no static implant overriding the midline, there looks to be some skin lifting, and the possibility of dynamic implant overriding the midline. It is true that time is on your side, and the implants will drop out and down. Planning implant size using bra cups as a measure is unreliable and usually inaccurate. Biodimensional measurements would have also prevented this sort of crowding of implants on your narrow chest wall. Although still wildly popular among surgeons, HP implants are associated with the highest complication and reoperation rates. Hopefully, things will improve for you. However, if you have problems, go visit a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery. Best of luck.
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February 5, 2018
Answer: Symmastia Hello,Although there appears to be no static implant overriding the midline, there looks to be some skin lifting, and the possibility of dynamic implant overriding the midline. It is true that time is on your side, and the implants will drop out and down. Planning implant size using bra cups as a measure is unreliable and usually inaccurate. Biodimensional measurements would have also prevented this sort of crowding of implants on your narrow chest wall. Although still wildly popular among surgeons, HP implants are associated with the highest complication and reoperation rates. Hopefully, things will improve for you. However, if you have problems, go visit a few ABPS certified/ASAPS member surgeons who specialize in revision breast surgery. Best of luck.
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July 2, 2018
Answer: Symmastia 3 months post op? No... 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. Although still too early to evaluate the long-term outcome of the procedure performed, it is possible ( if you have the same concerns longer-term) that you will benefit from revisionary breast surgery. Medial breast implants displacement concerns are treated using bilateral medial breast capsulorraphy (internal suture “repair”) techniques. In my practice, having used a variety of “techniques” for correction of medial implant displacement or 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. It may also be necessary to change breast implant profile or volume to help prevent chances of recurrence of breast implant malposition. I hope this helps.
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July 2, 2018
Answer: Symmastia 3 months post op? No... 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. Although still too early to evaluate the long-term outcome of the procedure performed, it is possible ( if you have the same concerns longer-term) that you will benefit from revisionary breast surgery. Medial breast implants displacement concerns are treated using bilateral medial breast capsulorraphy (internal suture “repair”) techniques. In my practice, having used a variety of “techniques” for correction of medial implant displacement or 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. It may also be necessary to change breast implant profile or volume to help prevent chances of recurrence of breast implant malposition. I hope this helps.
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February 3, 2018
Answer: Symmastia Dear citygirl6982,Dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position.I understand that you are worried about your implants are not dropping as expected and symmastia. However, you are still in the early phase of the recovery period. Please do allow some time for the healing process to occur. If after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.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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February 3, 2018
Answer: Symmastia Dear citygirl6982,Dropping of implants is part of the healing process and this occurs after the tissues surrounding the implants slowly relax, allowing the implants to settle into their final position. It can take about four to six months for the implant to drop down to their final position.I understand that you are worried about your implants are not dropping as expected and symmastia. However, you are still in the early phase of the recovery period. Please do allow some time for the healing process to occur. If after six months, you are not satisfied with the appearance of your breast, you can visit your plastic surgeon and discuss your concerns.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: If you want opinions about how 'great' you look post photos without your bra on and you will get lots of opinions that you can then take back to your surgeon if the majority here differ with your surgeon's assessment because just maybe, without your bra on, you do look great. With your bra on, your concerns are appreciated and if the skin between the mounds can be pushed down significantly, you do have a variation of symmastia as classic symmastia creates the dreaded unaboob. Either way, if you want more space between your mounds, you are looking at a revision with either more lateral movement of your implant, using a UHP implant, or downsizing if needed.
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Answer: If you want opinions about how 'great' you look post photos without your bra on and you will get lots of opinions that you can then take back to your surgeon if the majority here differ with your surgeon's assessment because just maybe, without your bra on, you do look great. With your bra on, your concerns are appreciated and if the skin between the mounds can be pushed down significantly, you do have a variation of symmastia as classic symmastia creates the dreaded unaboob. Either way, if you want more space between your mounds, you are looking at a revision with either more lateral movement of your implant, using a UHP implant, or downsizing if needed.
Helpful 2 people found this helpful