Is a narrow implant the only option to fix tenting?

I was given feedback that choosing a narrow implant is necessary to fix symmastia or tenting. I don't have severe symmastia however. I do not like high profile implants. I also don't want anything larger than two finger gap between my breast. Is a moderate plus profile really out of the question ?

Doctor Answers 14

Addressing Symmastia

Symmastia is a condition which can occur when the implants are too close together. Patients often refer to this as a “uniboob.” Occasionally, the space or pocket for the breast implant is created towards the center, or the tissue stretches, forcing  the implants to fall too much towards the center of the breasts. Correction of this problem may involve using different implants such as #textured, a smaller size, or a smaller base and placing the implants in a new pocket. Sometimes, this may require surgery in more than one stage to allow the tissues to heal and then place the implants. If the implants have been placed above the muscle, converting them under the muscle frequently will help and, again, the use of a dermal substitute may be required for additional #support if the tissues are thin. The techniques of #capsulorrhaphy and #neopectoral pockets may apply here as well.

Orange County Plastic Surgeon
4.9 out of 5 stars 110 reviews

Symmastia repair

Revision surgery is complex and full of trade offs. If the same implant width and size is used, lateral relaxation can be performed, but then you will have additional lateral show or side boob. If you're ok with that then the same or similar width may be a possibility, while still relieving stress on medial repair.  Wider cleavage is better tolerated with a lower profile implant as the cleavage edges are less steep. Without pictures I cannot make any specific recommendations for your anatomy.  Seek multiple consultations as there are many ways around the mountain. Best of luck. 

Evan Feldman, MD, FACS
Texas Plastic Surgeon
5.0 out of 5 stars 88 reviews

Is a narrow implant the only option to fix symmastia?

I suspect that you are asking a question with regards to symmastia.This is a very difficult problem to correct.The correction involves both changing the size of the implant as well as the extent of the implant pocket.The ultimate implant size/profile/volume that is needed/available really depends upon the particular individual and their unique anatomy.I am so sorry that I cannot give a more specific opinion.With best regards.


Symmastia can be fixed. The implant profile is irrelevant. It may be that you have a narrow chest width and the surgeon wants to keep the same volume without placing too wide of an implant risking putting pressure on the symmastia repair. In theory, that is understandable, however, you can place a moderate profile implant and perform a "mirror image" capsulotomy and release the tension on the repair. Best of luck to you.

Paul E. Chasan, MD
Del Mar Plastic Surgeon
4.9 out of 5 stars 40 reviews

Implant Choice for #Symmastia

An examination by a board certified plastic surgeon and complete review of your operative note is key to decide the type of implant and type of procedure required. It might be possible to use different types of implants including a moderate plus depending on your exam. 

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Seek consultation with an expert at breast revision

Symmastia is a difficult problem to fix and repairs often fail. You would need to consult with a plastic surgeon to determine the strength of your soft tissue envelope and support, the best size and shape implant and if additional re-enforcement is required. Over dissection of the pocket medially and large implants can lead to symmastia and the repair of this can range based on severity from downsizing implants, to addition of dermal products to bolster medially, to removal of implants and staged revision augmentation months later in he worst cases.

Wesley G. Schooler, MD
Santa Barbara Plastic Surgeon
4.8 out of 5 stars 17 reviews

Is a narrow implant the only option to fix tenting?

High profile breast implants are not your only option for revision breast augmentation. You could potentially have Moderate Plus breast implants. But, if you and your plastic surgeon have decided on a particular volume, the high profiles recommended by your surgeon may have particular dimensions that will best fit your breasts and chest. In some cases you may have to downsize your volume if you want to go with the Moderate Plus. Thank you for sharing your question. Best wishes.

Gregory Park, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 164 reviews

When worried about symmastia and thinking of more surgery

photos must be provided to provide any speculation as to what would work for you.  In addition, knowing the width of your breasts and the space between the breasts is also required to comment on what you ask.  Best to see your surgeon who can show you with a ruler, just how wide each implant is and what impact it would have on your intermammary distance.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Symmastia repair

The key to a symmastia repair is to suture the over-expanded area in the center, from the inside of the pocket.  Sometimes this needs a reinforcing material or a capsular flap.

The implant that is then placed should be chosen so it doesn't stress out the repair by being overly large or overly wide.  Fit the implant nicely to the base width of the patient.  Usually this strategy works well.

All the best,

Thomas Fiala, MD
Orlando Plastic Surgeon
4.9 out of 5 stars 80 reviews


Thank you for your question but specific volumes and an examination are needed to answer it so see some experts in your area

Dr Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 62 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.