I have lose skin in cleavage after downsizing. I have been told I have symmstia and told I do not have symmstia by different surgeons. All board certified. I am confused. I need to know if when you fix symmstia do you use internal sutures in the cleavage area? If you have lateral displacement and symmstia can that be fixed at the same time? Are silicone implants much lighter than saline and better in a revision surgery?
February 12, 2017
Answer: Synmastia correction Dear sadgirl4,The diagnosis of synmastia is sometimes as elusive as its correction. It is reasonable to say that there are grades of synmastia, even though no grading system exists. Also, the extent of synmastia present may even be affected by real time conditions in your body, such as the tone of your pectoral muscles at any given moment in time. This could explain your confusing diagnoses. Correction of synmastia usually involves internal suturing of your implant capsules, with or without use of biological support materials, such as acellular dermal matrices. In general, although it can be done, it is difficult to address lateral displacement and synmastia simultaneously, as repair of one will create tension on the other. Silicone implants are only slightly lighter than saline implants and the full advantages and disadvantages of each implant type should be discussed with your board certified plastic surgeon. Good luck!
Helpful
February 12, 2017
Answer: Synmastia correction Dear sadgirl4,The diagnosis of synmastia is sometimes as elusive as its correction. It is reasonable to say that there are grades of synmastia, even though no grading system exists. Also, the extent of synmastia present may even be affected by real time conditions in your body, such as the tone of your pectoral muscles at any given moment in time. This could explain your confusing diagnoses. Correction of synmastia usually involves internal suturing of your implant capsules, with or without use of biological support materials, such as acellular dermal matrices. In general, although it can be done, it is difficult to address lateral displacement and synmastia simultaneously, as repair of one will create tension on the other. Silicone implants are only slightly lighter than saline implants and the full advantages and disadvantages of each implant type should be discussed with your board certified plastic surgeon. Good luck!
Helpful
February 11, 2017
Answer: Symmastia repair: do you sew the skin down to the bone in cleavage? Or do you just hope it reattaches after surgery. Generally speaking, I utilize permanent sutures along the "cleavage area" when it comes to correction of symmastia. I have found the use of acellular dermal matrix helpful for most patients undergoing this type of surgery. Although some skin "tenting" may persist after this type of revisionary breast surgery, I have been impressed with the degree of skin redraping that occurs. Actually suturing skin down to the sternal bone, in my opinion, can lead to a very unsatisfactory aesthetic outcome. Silicone gel breast implants have some advantages when it comes to potential rippling/palpability; they are slightly lighter in weight than saline implants. Again, it will be important that you select your plastic surgeon carefully. Best wishes.
Helpful 2 people found this helpful
February 11, 2017
Answer: Symmastia repair: do you sew the skin down to the bone in cleavage? Or do you just hope it reattaches after surgery. Generally speaking, I utilize permanent sutures along the "cleavage area" when it comes to correction of symmastia. I have found the use of acellular dermal matrix helpful for most patients undergoing this type of surgery. Although some skin "tenting" may persist after this type of revisionary breast surgery, I have been impressed with the degree of skin redraping that occurs. Actually suturing skin down to the sternal bone, in my opinion, can lead to a very unsatisfactory aesthetic outcome. Silicone gel breast implants have some advantages when it comes to potential rippling/palpability; they are slightly lighter in weight than saline implants. Again, it will be important that you select your plastic surgeon carefully. Best wishes.
Helpful 2 people found this helpful
