How can I fix symmastia after breast reduction? (photos)

Question

I always had slight symmastia before my breast reduction and I was told a breast reduction would improve it however it's made it worse my boobs look worse like a uniboob and no cleavage any advise on how to fix this?

Christopher Pannucci, MD, MS · Answer

Hi Celebrated,
Based on the photos, your concern is based on the immediate post-op result.
The reduction closure is typically tight, in order to remove the maximum amount of skin. The tight lower pole closure can force breast tissue upwards, giving you exaggerated upper pole fullness and cleavage that looks close together.
I would suggest allowing things to heal, and I expect that over time the skin will stretch and the breasts will drop. This will likely decrease the "uniboob" look in the photo. I would suggest regular followup with your plastic surgeon, and active discussion about your concerns.
Hope this helps,Christopher Pannucci MDBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Daniel Barrett, MD · Answer

Dear Celebrated489105,
I understand your concern and it is quite normal to be concerned about the outcome following a breast reduction surgery. However, you are still in the very early stages of the healing process.You will need to be patient at this moment and follow what your surgeon has instructed you to do post operatively.At the early stage of the healing process, the tissues are still swollen. Once the swelling subsides you will be able to see the final result of your breast surgery.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Jon S. Wilensky, MD · Answer

Fixing symmastia, commonly known as “uniboob” or “breadloafing”, after a breast reduction typically requires surgical correction. Symmastia occurs when the breast tissue fuses in the center, causing a loss of separation between the breasts. It is important to allow your breasts to heal after your breast reduction procedure before considering another procedure, here are the steps to address this issue:1. Consult a Board-Certified Plastic Surgeon: Seek a consultation with a skilled plastic surgeon experienced in breast surgeries. They can evaluate your specific situation and discuss your options.2. Surgical Correction: Symmastia correction usually involves surgery. The surgeon may need to reposition or tighten the breast tissue, creating a clear separation between the breasts. In some cases, an implant may be used to support the breast tissue and maintain the separation.3. Individualized Treatment Plan: Your surgeon will create a customized treatment plan based on your unique anatomy and the severity of the symmastia. They will explain the surgical techniques and potential outcomes. 4. Preoperative Preparation: Before the surgery, you’ll need to follow any preoperative instructions provided by your surgeon, which may include lifestyle changes, medications, and avoiding certain activities.5. Postoperative Care: After the surgery, you’ll need to follow the postoperative care instructions carefully. This includes proper wound care, wearing compression garments, and attending follow-up appointments with your surgeon. 6. Recovery: Recovery time varies but generally involves a period of rest and limited physical activity. Your surgeon will provide guidance on when you can resume normal activities. 7. Long-Term Results: Be patient with the healing process, as it can take several months for the final results to become apparent. You should also maintain a stable weight and follow your surgeon’s advice to ensure the best long-term outcome.It’s important to choose a highly skilled and experienced plastic surgeon for this procedure, as correcting symmastia can be complex, and the outcome depends on the surgeon’s expertise. Always have a thorough discussion with your surgeon to understand the potential risks and benefits of the procedure before making a decision.

Scott C. Lindsay, DO · Answer

Thanks for your question! You appear to be very early in the recovery process so we can't make any determination just yet. Please be patient and continue to follow-up with your plastic surgeon. Good luck!

Darryl J. Blinski, MD · Answer

It appear you are only few days to weeks postop? Allow 3-6 months healing time before the dx of symmastia can be made. As of now I do not see a uni-boob.

Connie Hiers, MD, FACS · Answer

Your are very early in the healing stage and are not seeing your final results. You need to wait at least 6 months after surgery to actually see how thins settle. Right now you have swelling.

How can I fix symmastia after breast reduction? (photos)

Answers (6)

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