I had first my breast aug. 2years ago, and developed symmastia. I want to go bigger (maybe by 150cc), and a doctor I consulted with said it was doable, and he could fix it with only dissolvable sutures. Is this risky?
November 17, 2014
Answer: Synmastia correction Dear fixingsymmastia, Symmastia (or synmastia) is a difficult problem to correct. It is a risk when large implants are used with a wide base diameter compared to the base diameter of your breast. I would be concerned about going to bigger implants as this would make it more difficult to correct the problem. On the specific question about the dissolvable sutures, it would not be unreasonable to use dissolvable sutures, although one would tend to use long-lasting dissolvable sutures. Certain sutures take a long time to dissolve allowing enough time for the tissues to heal and scar together and can be used interchangeably with non-dissolving sutures depending on surgeon preference.
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November 17, 2014
Answer: Synmastia correction Dear fixingsymmastia, Symmastia (or synmastia) is a difficult problem to correct. It is a risk when large implants are used with a wide base diameter compared to the base diameter of your breast. I would be concerned about going to bigger implants as this would make it more difficult to correct the problem. On the specific question about the dissolvable sutures, it would not be unreasonable to use dissolvable sutures, although one would tend to use long-lasting dissolvable sutures. Certain sutures take a long time to dissolve allowing enough time for the tissues to heal and scar together and can be used interchangeably with non-dissolving sutures depending on surgeon preference.
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November 17, 2014
Answer: Symmastia Yes, symmastia can be repaired with absorbable suture. There are several ways to correct this problem. I, however, prefer to use permanent sutures to limit possible recurrence. I also think using a "mesh" or ADM is helpful to support the repair. I would caution against going larger at the same time of repair though. The larger implant is putting force on the repair, potentially limiting the scar tissue along the middle that we need to prevent symmastia from occurring again.
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November 17, 2014
Answer: Symmastia Yes, symmastia can be repaired with absorbable suture. There are several ways to correct this problem. I, however, prefer to use permanent sutures to limit possible recurrence. I also think using a "mesh" or ADM is helpful to support the repair. I would caution against going larger at the same time of repair though. The larger implant is putting force on the repair, potentially limiting the scar tissue along the middle that we need to prevent symmastia from occurring again.
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