700 to 500cc - is symmastia still present? Can this be fixed? (Photos)

Question

Original saline implants sub pec in 2014. December 2020 I had a revision due to contracture and wanting a larger bust. The new implants were silicone gel over 700cc. Synmastia occurred pretty soon after. A second revision was performed with smaller (500ish cc) implants and mesh in April 2021 and after the initial healing was done looked ok but slowly started dropping and now look horrible. I don’t want another surgery but I feel so ugly. Can this be fixed?

Daniel Barrett, MD · Answer

Dear atoledo,
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

Antonios Mitsakos, MD · Answer

You may still have some degree of symmastia. This is a condition which is quite challenging to correct, more so if you would not consider a surgical approach. Please keep in mind there a solution for almost every concern. With that in mind I would seek in person advice as you could be given several options when it comes to treatment

Douglas Taranow, DO, FACOS · Answer

You have both a symmastia and double bubble.  Surgery is required to fix both of these issues.  The cleavage should be plicated with sutures or bolstered with mesh.  The double bubble requires release of internal breast tissue and possibly plicating your breast folds (internally).  
Dr. Taranow

700 to 500cc - is symmastia still present? Can this be fixed? (Photos)

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700 to 500cc - is symmastia still present? Can this be fixed? (Photos)

Answers (3)

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.