Your breast implants sit close to each other and the skin looks like it’s either touching or very close to touching. That said you do not have synmastia in my opinion. If you google determine you’ll see what true synmastia looks like. But this condition the problem is not resolved by downsizing implants alone. In your case, reducing implant size alone will be sufficient. The implant selection was aggressive. With that size implant, the volume has to go somewhere. If you want to eliminate the look, then you need to downsize your implants or potentially open the pocket laterally(on the sides) to make more room for the implant. Your outcome as a direct reflection of the implants chosen.Implant selection is challenging and very important. Each plastic surgeon will have their own way of dieting patients through the process. Some plastic surgeons do this better than others. If you’re going to have a revision, you probably want to go down in size a bit if you don’t like the look or your breasts touching. I suggest you follow up with your provider. Best, Mats Hagstrom MD