Mild Symmastia? Does It Look Like Another Revision is Needed? (photo)

If you recently underwent breast augmentation surgery, you are most likely experiencing swelling between the two breasts. This will improve with time and #swelling will subside. Your #healing will continue for 2-3 months following your #breast procedure. There may be some swelling, bruising, malposition, color differences. Sensation will be abnormal and scars will also be changing.During breast implant surgery a pocket is created carefully to maintain certain folds on the sides and bottom of the breast. At times, the space for the breast implant becomes too large on the side of the chest or the tissue stretches and the implants fall too much to the side. This is most easily seen when the patient is lying on her back. On rare occasion, the implants can move towards the patient’s #armpit.Treatment to address this generally requires closing the space.  That procedure is called a #capsulorrhaphy. In this case, the capsule is closed off internally much as we do when we are trying to raise the breast fold. The capsule is then closed with sutures and Acellular Dermis Matrix (#ADM) or other soft tissue substitutes may be used to further support this correction.But, it can be up to one year see your final result. Additionally, your surgeon may require you to move or massage the implants within the breast pockets during the #postoperative period. (#Textured implants do not require breast massage.). This you will be more informed about during your post operative follow-up appointment. In the meantime, you must have patience, but if there are any causes of concern, ask questions of your plastic surgeon or their nursing staff.  

Dear RVAGRL,Symmastia is a rare breast condition that occurs when soft web-like breast tissue pulls breast implants towards each other, until the breasts meet uncomfortably at the center of the chest near the sternum (the body’s midline point). Given this abnormal union, symmastia is known by many other names, including breadloafing, kissing breast implants, and the uniboob.Unfortunately, this condition causes the surrounding skin and pectoral muscles to literally lift off the breast bone as the implants are pulled together. This consequently causes pain and discomfort, as well as obvious distortion of the breasts, which can only be disguised with clothing that does not show cleavage.You should consult with a board certified plastic surgeon for proper assessment. Only after a thorough examination you will get more information and recommendations.Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

The diameter of the breast implants exceeds the natural diameter of the breasts in the picture. The patient does not have synmastia but does have implants the go beyond the medial border of the breast. It also violate the borders superiorly in the early in laterally. This makes the breast look artificial.