5 weeks post-op. Do I have the beginnings of symmastia? (photos)

Good morning!You don't really have synmastia- just a credit card gap! However, to prevent further migration of your implant medially, and the resulting rotation of your nipple laterally, if you were my patient I would have you massage the implants in a lateral direction, and I would consider a Thong Bra.

Based on your photos it does not appear that you have a true synmastia. You have a defined left and right pocket, albeit, they are quite close. As you are only 5 weeks out, things will soften and settle over the next 3-4 weeks and you will likely be more pleased with your results at that point. Discuss with your surgeon, but there are massage techniques and garment techniques that may improve things and maintain softness postoperatively. 

From the picture, it does not appear as if there is a synmastia, although it may be better to have an exam by your PS to determine.  The implants are a little bit bigger than before which my contribute to the more closeness of the breasts.  The should settle a little more laterally over time with massage as long as the skin in the middle isn't truly tented. 

Dear anonyme84,
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.
Based on your photos, it looks like you don't have symmastia. 
I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process.Your will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Fortunately, it appears that the skin and soft tissue over the sternum has maintained its attachments. If these attachments are lost and the skin pulls away from the sternum, it is often difficult to correct. Your implants do however appear somewhat close together. The base width of the implant appears wider than its predecessor. 
I recommend waiting for the swelling to subside and the hypervascularity of healing to abate. In 3-6 months, you may wish to consider an implant with a smaller base width. 
The most important measurement is the base width of the implant. If you drop a vertical line from the medial most and lateral most aspects of the breast, and measure the distance between them, this suggests a base width. If an implant is too narrow, you will not have adequate cleavage. If wider than the base width, you will have excessive cleavage and “lateral boob”.  The fill of the implant then determines the amount of forward projection. I recommend you visit an implant website (e.g. Mentor) as they will list base widths, fill options, and projections for each implant size they offer. 

Maintain close contact with your plastic surgeon.
Best wishes...

Dear anonyme84,Thank you for your question.  It is possible that the implants are too close together.  The photos do not indicate a definite symmastia though..  5 weeks out is a bit early to make any clear conclusions.  I'd be patient, but certainly bring your concerns to your surgeon.James Sheridan, MD

Hi! This does not appear to be symmastia  Your breasts are likely somewhat closer to each other due to the increased diameter of the larger implants. It is unlikely that the separation between your breasts will diminish any further. Your left breast appears somewhat higher and more lateral than in the pre-op photos. There are several possibilities that might contribute to this. I think it would be wise to see your surgeon and discuss your concerns. Keep the lines of communication open between you. Hope this helps...