I had my breast augmentation with gel silicone under the muscle in April 2018. I noticed not too long after that my cleavage & nipples were not even. My right breast sits lower & more towards my sternum than my left. I have slight tenting as well. Is this the doctors error? How should I have it repaired?
Answer: Symmastia Based on your pictures, you have symmastia. This is where the implants cross the midline, lifting up the sternal skin and muscle at times. This can occur for a number of reasons, the most common being too wide of an implant for your frame or overdissection of the pocket. It also appears that one implant is sitting lower than the other on your frame. You would probably benefit from a narrower implant, fold support, and internal symmastia repair. The best thing to do is to have a few consultations with board certified plastic surgeons who have experience with symmastia repair (see examples in link below). I hope this helps.
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Answer: Symmastia Based on your pictures, you have symmastia. This is where the implants cross the midline, lifting up the sternal skin and muscle at times. This can occur for a number of reasons, the most common being too wide of an implant for your frame or overdissection of the pocket. It also appears that one implant is sitting lower than the other on your frame. You would probably benefit from a narrower implant, fold support, and internal symmastia repair. The best thing to do is to have a few consultations with board certified plastic surgeons who have experience with symmastia repair (see examples in link below). I hope this helps.
Helpful 4 people found this helpful
Answer: Correction of breast asymmetry after augmentation. The asymmetries in the photograph should be discussed with your surgeon. If you have true synmastia the repair can be difficult. It might be easiest to place a new set of implants in a sub glandular position and reattach the pectoralis to the chest wall.
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Answer: Correction of breast asymmetry after augmentation. The asymmetries in the photograph should be discussed with your surgeon. If you have true synmastia the repair can be difficult. It might be easiest to place a new set of implants in a sub glandular position and reattach the pectoralis to the chest wall.
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February 5, 2019
Answer: Dear "what's going on?" The implants have for some reason come to rest too close to one another. This is not always the surgeon's error. Regardless, the implants needs to be moved further apart and doing so will also make your nipples point more straight. As to your question about the nipple height, this is frequently related to your preoperative appearance and cannot be changed. You will require more surgery to improve this... sorry to say. Best of luck!
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February 5, 2019
Answer: Dear "what's going on?" The implants have for some reason come to rest too close to one another. This is not always the surgeon's error. Regardless, the implants needs to be moved further apart and doing so will also make your nipples point more straight. As to your question about the nipple height, this is frequently related to your preoperative appearance and cannot be changed. You will require more surgery to improve this... sorry to say. Best of luck!
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February 3, 2019
Answer: Breast augmentation From you photos you appear to have symmastia. To correct this you will need a revision. Most likely smaller implants and repair of the symmastia.
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February 3, 2019
Answer: Breast augmentation From you photos you appear to have symmastia. To correct this you will need a revision. Most likely smaller implants and repair of the symmastia.
Helpful
February 3, 2019
Answer: Uneven Breasts at 10 Months Thank your for your question and photos. You have several observable asymmetries. The right breast implant seems to sit at both a higher and lower level on the right side. It also show lateral displacement of the nipple. In effect, the right breast just looks bigger. Without an in-person examination and knowing what you looked like before, and exactly what was done during surgery, any answer is pure speculation. It looks as though the implant pocket was different on the two sides with greater release of the muscle on the right side. It also looks as though the footprint of the implants are different. Careful review of the medical records could provide an answer of why this occurred. You might also benefit from an ultrasound to rule out a seroma. What can be done is complicated. you will likely need to correct the symmastia of the right breast and possibly change the implant to more closely match the left side. A logical question is what does your doctor say. If they say this is normal or desirable, it's not. Persist in your desire to correct this problem. If you seek a second opinion, make sure that you have copies of your pre-operative photos and medical record that reflect the operative details. Best of luck!
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February 3, 2019
Answer: Uneven Breasts at 10 Months Thank your for your question and photos. You have several observable asymmetries. The right breast implant seems to sit at both a higher and lower level on the right side. It also show lateral displacement of the nipple. In effect, the right breast just looks bigger. Without an in-person examination and knowing what you looked like before, and exactly what was done during surgery, any answer is pure speculation. It looks as though the implant pocket was different on the two sides with greater release of the muscle on the right side. It also looks as though the footprint of the implants are different. Careful review of the medical records could provide an answer of why this occurred. You might also benefit from an ultrasound to rule out a seroma. What can be done is complicated. you will likely need to correct the symmastia of the right breast and possibly change the implant to more closely match the left side. A logical question is what does your doctor say. If they say this is normal or desirable, it's not. Persist in your desire to correct this problem. If you seek a second opinion, make sure that you have copies of your pre-operative photos and medical record that reflect the operative details. Best of luck!
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