Symmastia Repair and Life After?

 I have found, that in the longer term, patients who have undergone symmastia corrective surgery are able to return to all activities, without difficulty. In my practice, I ask patients to avoid certain activities that strain the repair for many months after the procedures performed.  Some general information regarding corrective surgery may be helpful to you and other patients with symmastia: having used a variety of “techniques” for correction of symmastia, I find that the most reliable technique involves capsulorrhaphy ( internal suture repair of the breast implant pockets along the cleavage area).  In the past, I preferred the use of permanent suture; more recently, I have had good success with the use of longer-lasting absorbable suture. Sometimes, the use of acellular dermal matrix ( and more recently biosynthetic “mesh") may be helpful also, in some cases where the tissues are very thin. Often, it is necessary to “open” the breast implant pocket laterally (outer breast fold) to allow for positioning of the implant centrally behind the breast mound. This maneuver may also decrease the amount of implant pressure against the medial suture line.  These maneuvers also serve to better position the nipple/areola complexes, centered on the breast mounds.  When it comes to selection of breast implant size, patients should remember that the first priority is safety and prevention of recurrence of the breast implant malposition problem. You may find the attached link (dedicated to symmastia corrective surgery) helpful to you as you learn more.
Best wishes.

Symmastia is a condition which can occur when the implants are too close together. Patients often refer to this as a “uniboob.” This can occur for the same reasons as displacement noted above, but in this case the pocket(s) is/are too far towards the center.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. On occasion, 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.

Post-operative healingYou should be able to return to normal activity after #synmastia repair of your #breasts.

Patients
will feel sore and tired during the first 48 to 72 hours following this #cosmeticsurgery.
During these first few days, the patient should engage in light activities,
refraining from lifting or raising the arms above the head.

Swelling
and bruising will subside during the first week after surgery and will be
controlled by pain medication. The initial surgical tapes will be removed a few
weeks after surgery during a post operative visit. Patients typically may
return to a work a few days after surgery (only a light workload during the
first two weeks). Showers are permitted on post op day #3 if there are no
drains.

Scars
will progressively fade throughout the first year following surgery.