Breast implants done in July 2020 - Is this Symmastia? How can this be fixed? (Photos)

Question

Hello! I had my breast implants done in July 2020. I have motiva ergonomic 415 cc medium profile I believe. I healed really well and have been happy with them. In the past year or so, I have noticed a line between my breasts and thought this was just sagging? The line disappears when I lay down, I tried squeezing them together to demonstrate how they aren’t close together when laying down, but seem a lot closer when sitting up right. I found synmastia when I was looking online and am just worried this is what’s happened to me years post op. Thanks!

Wayne I. Yamahata, MD · Answer

Your photos do not suggest the presence of symmastia, but rather tightness to the skin from the weight of the implants

Daniel Barrett, MD · Answer

Dear Dbaby77,

I understand your concern. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

This does not appear to be symmastia but the weight of the implants is stretching the skin.  You will need smaller and lighter implants.

Best Wishes,

Gary Horndeski, M.D.

Amir Tadros, MD, FRACS(plast), FRCS(plast) · Answer

Without examining you, this does looks like symmastia in the lower part of the sternum which is hard to fix. You might be able to get a better shape by reducing the implant size and uplift so that the implants sit higher.

Mats Hagstrom, MD (license on probation) · Answer

To make a quality assessment regarding the outcome of any plastic surgery procedure we need to see quality before and after pictures.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took.
From the pictures you did include it appears that your breast sit wide on your chest wall and have significant divergence (your nippels point outward) .
This characteristic is typically amplified or put on display with the projection of implants.
The bigger, the implants, the more obvious these characteristics become.Synmastia typically happens when there is a connection between the two implant pockets or the soft tissues do not have independent attachment to the sternum. I don’t believe that’s the case with you.
We usually assess breast augmentation outcomes from a standing position.
It’s not uncommon for breast to fall to the side due to gravity, one laying on the back. The more someone’s breast sit wide on the chest while the more likely this is to happen.
Best,
Mats Hagstrom MD

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