Recovery After Breast Implant Upsizing and Capsulotomy, Possible Symnastia? (photo)

1st BA - (420cc saline,through armpit,subpectoral)I went back to my PS bc of rippling and wanted to go larger-750cc,saline/subpectoral, but through the areola this time.He had to do a capsulotomy as wel to release some scar tissue.After, he told me my chest muscles were so big they kept slipping from the clamps, and had to do more then he initially thought. 5 weeks now and I am still in pain(burning,cant sleep) from my pictures does it look like possible synmastia?they seem very close??

Doctor Answers 9


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You  do not have symmastia. The pain and burning that you are feeling is not that uncommon at 5 weeks. The question of whether you are " too big," is a personal one, and should only be made by you.  I agree that going with larger implants will not prevent ripples.  Your best option was to switch to silicone gels.  750 cc's is too much for saline implants.  When you get to such large volumes, you are particularly better off with silicone gels.

Miami Plastic Surgeon
4.7 out of 5 stars 358 reviews

This is not symmastia

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You are very large and the n  burning can be from that in combination to  the fact that you are early in the healing phase.

Recovery After Breast Implant Upsizing and Capsulotomy, Possible Symnastia

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You are most likely experiencing swelling between the two breasts not #symmastia which is the inadequate space between breasts. This will improve with time and #swelling will subside during the first week after surgery and can be managed by pain medication. The initial surgical tapes will be removed a few weeks after surgery during a post operative visit. Revision patients typically may return to a work a few days after surgery (only a light workload during the first two weeks). Showers are permitted on post op day #3 if there are no drains.

Scars will progressively fade throughout the first year following surgery and products may be applied a fews later but only with your surgeon's permission .

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

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Post upsize and symmastia correction. Concerns.

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Thank you for the photos. From the photos, it does not appear that you have symmastia.  Hard to tell without a physical exam, but you seem to have the desired space in between, (usually between 2-4 cm).  They look closer as they are large.  You are still early in your post operative course. Allow some time for things to settle down. Please follow your board certified plastic surgeon's protocol. Also inform him/her of any issue that you may have.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

No Symmastia

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The breast are separated at the midline, but because the implants are large, they are very close together. Is this the look you wanted?

Recovery After Breast Implant Upsizing and Capsulotomy, Possible Symnastia?

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No I do not see a symmastia. But you have very LARGE implants that take healing time. Is this the look you desired? 


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No, I do not think that you have symmastia. The implants are too larger for your body and that is why they look close.

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

Breast implant up sizing, do I have symmastia?

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Thank you for the photo. It does not appear that you have symmastia. You implants are close because they are too large for your chest wall. If a person develops rippling is because the breast tissues are very thin or overstretched. Placing larger implants will not correct the situation, but just postpones the inevitable; further tissue thinning, sagging from the weight of the implants and further rippling. What will be your next solution? Place even larger implants? Personally, I feel you would have done better with the same size implants, but silicone gel and placement of tissue matrix (Strattice or Alloderm) to cover the implant and prevent future rippling and lessen the possibility of capsular contracture. Work closely with your plastic surgeon or get another opinion. Good luck.

Possible synmastia

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Though your breasts are close to your midline, it does not appear that you have synmastia.  Discuss implant displacement exercises with your surgeon, especially to shift your breasts laterally.  More healing time will likely improve the appearance as well.

Leonard T. Yu, MD
Maui Plastic Surgeon

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.