6 months post op - Am I developing symmastia or tenting? (photos)

Question

Hello! I had my BA done 6 months ago. I have recently noticed that I think i might have symmastia? Either that or just tenting that is taking forever to go away. It does feel "tight" when i push down on it. Please let me know your thoughts.

Brian K. Reedy, MD · Answer

Thanks for your question! We won't be able to give you a definitive answer. Being able to see your before photos would be very helpful if you could repost with them. It may be slight symmastia, but I would suggest calling your plastic surgeon to schedule a follow-up and discuss! Best of luck!

Gianfranco Frojo, MD · Answer

If you could provide some views with the arms relaxed and without a bra in place, that would make it easier to determine exactly what is going on. If you have before photos as well, those would be extremely beneficial.

Harry T. Haramis, MD, FACS · Answer

Since you have precise definition in the midline, showing the right and left implants as separate, you do not have symmastia (which occurs when implant crosses over beyond the middle).

The skin may be tenting, this can take up to 1 year to settle.

Close follow up with your plastic surgeon is recommended during this time for instructions and any subsequent care.

Connie Hiers, MD, FACS · Answer

Yes, you have some because of the large size of your implants and the smaller chest size you have. If this bothers you, go down in size.

Karl William Schwarz, MD · Answer

It would be helpful to see your nipple position. With symmastia the nipples tend to go towards the outside part of the breast (a more lateral position) rather than pointing straight ahead. However, it does look to me like you might be developing symmastia but there is a pretty easy way to check.

I would suggest laying on your back and putting pressure on the implant to try to move it towards the center and if either implant crosses over the midline than that is your confirmation you have symmastia.

You can have something that looks like symmastia (the tenting of the skin you are referring to) without having a true connection between the left and right implant pockets when a breast implant encroaches on the other. It appears to me that your right breast is starting to do that. If it has been 6 months I would not imagine the skin will stop tenting and will likely progress. I would see a surgeon to have a physical exam to confirm.

Camille Cash, MD · Answer

The submitted photos show a definitive separation between the breasts, so it does not appear you have symmastia.  If you are noticing changes that concern you I encourage you to visit with your surgeon for an evaluation.

Mats Hagstrom, MD (license on probation) · Answer

I do not think you Have synmastia.
Whenever large implants are placed, the diameter needs to be placed somewhere.
It’s the diameter of the implant is significantly wider than the natural diameter of the breast. Then it’s going to extend outside the breast periphery.
Some needs to go mediately or the implant will sit out towards the armpit too much.
To make an accurate assessment regarding the outcome of any plastic surgery procedure, we usually need to see a complete set of proper before and after pictures.
If you don’t have it before, and after pictures, then ask your surgeon to forward the pictures they took.
I suggest you follow up with your provider.
Best,
Mats Hagstrom MD

6 months post op - Am I developing symmastia or tenting? (photos)

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