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