16 days post op, no midline, deep pain in the middle of the chest, synmastia? (photos)

Hi I got a BA 16 days ago, had an A cup mildtubular breast. Right postop I felt pain in my sternumarea in the muscle felt it was pulledoff the bone. Then I got a dark bruise on the same spot (1st pic) Now 16d postop and I have no midline, the implants arent defined. It hurts and I can push down the tissues to the bone and I feel a pulling feeling. Q: do I have synmastia? Or the tissues covering the chest bone were lifted so I have no line? Igot 425 cc shaped under muscle. Thanks.

Doctor Answers 5

Symmastia and breast augmentation

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Your photos do not seem to indicate your have symmastia as there is a clear separation of the breasts.  It is not unusual to experience some pulling and soreness in the area as the muscle is partially lifted when creating the implant pocket. If you are still experiencing pain at 16 days, it's important to visit your surgeon to undergo an evaluation.

Warm regards,

Dr. Pedy Ganchi                                                                                                                                                       Village Plastic Surgery 

Ridgewood Plastic Surgeon
4.9 out of 5 stars 97 reviews

Symmastia or Breast Placement After Surgery

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Always contact your plastic surgeon if you have concerns about post-operative infection, bleeding, swelling, fever, excessive bruising, or any new and sudden changes in the feeling or look of your implants, breasts or incisions.

Any of the following may be post-op difficulties, about which it is best to contact your surgeon directly:

·       Excessive bleeding (hematoma) and bruising

·       Reduced sensation of #nipple

·       Deflation/rupture

·       Capsular contracture

·       Wrinkling/rippling. Palpable and/or visible

·       Firmness, and distorted appearance

·       Interference with breast feeding

·       Mammogram interference

·       Cost for revision surgery if necessary

·       Calcium deposits in the tissue around the implant

·       Breast tissue atrophy/chest wall deformity

·       Hypertrophic scarring

·       Tissue loss

·       Infection requiring antibiotics or implant removal

There is always the potential for revision to be done if placement is not completing on time, but you should likely visit your surgeon to have the area evaluated to ensure whether the healing progress is moving along well. Good luck!

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews


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Nope!  Your breasts are clearly separate from each other.  Not all women can have well defined midline cleavage or breast crease after augmentation.  Much of that depends upon the anatomy that one starts with.  In the meantime, rest assured, there is no deformity here.
Best of luck!

Dr. Subbio
Board-Certified Plastic Surgeon
Newtown Square/Philadelphia, PA

Christian Subbio, MD
Philadelphia Plastic Surgeon
5.0 out of 5 stars 74 reviews

No symmastia

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It does not look like you have symmastia. The midline is very well defined. Some pain may be related to muscle elevation during surgery. If concerned, speak to your surgeon.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Do I have synmastia?

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Synmastia  is present when one or both implants are positioned too close to the midline over the breastbone (sternum). This means that the pockets, or capsules, surrounding the implants are too medially placed. Many patients report that their synmastia is accompanied by mild discomfort in the midline with or without rippling.

When diagnosing yourself, you may find that your breasts touch in the middle, that the skin has lifted off of the breastbone (sternum), or that there really is no separation between the breasts because the skin tents from one breast to the other.

When you push your finger down onto the breastbone in the middle of your chest, your implants may separate but then spring back towards one another when you remove your finger. You may also notice that when you bend forward and look between your breasts there really is no indentation in the midline between the breasts.

Proper implant position means that the nipple is centered on the center of the breast implant. If more of the implant rests medial to the nipple than lateral to the nipple, then you may have synmastia. When this nipple-implant malposition occurs, it may make the nipples appear to point outwards (called walleyed) or may make the nipples appear to be too far apart. This appearance results from the fact that as the implants migrate medially the nipples rotate outwards, giving the walleyed appearance. 

As always go to the surgeon who performed your operation and discuss your concerns. 

Walton Montegut, MD
Newport Beach Physician
4.9 out of 5 stars 47 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.