Symmastia revision. How can this be fixed? (Photo)

Question

Back in November 2021 I had a breast augmentation. The implants were way too big for my frame and caused symmastia. 6 months later (may of 2022) I had a revision and reduced my implants. The first couple weeks they looked great. Now the symmastia has come back. My doctor has said we will try using mesh since he doesn’t believe my tissue is strong enough. Should I see a new doctor? How can this be fixed?

Daniel Barrett, MD · Answer

Dear hnaranjo,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Gary M. Horndeski, MD · Answer

In your photographs, you can see that your breasts are wider than the chest wall. Your implants have too big of a base diameter. You will need much smaller implants. However, at this time, remove the implants and wait 3-6 months until the pocket is healed and then place new smaller implants in a different pocket.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

True synmastia is rare and it dies not apoear that you have it. I think your result is good and further surgery not indicated

Connie Hiers, MD, FACS · Answer

You may need to go smaller and have mesh to help support the repair. Too large implants can do permanent damage to your tissue with stretching and thinning.

Symmastia revision. How can this be fixed? (Photo)

Answers (4)

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