Do I Have Symmastia? Only 6 Weeks Post Op (photo)

Question

I am worried that the tenting is permanent. Can anyone please give me some advice? Attached are pictures at 6 weeks post surgery

Jed H. Horowitz, MD, FACS · Answer

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.  Currently, you do not appear to have #symmastia. Also, it is still quite early into your post-op healing stage. Therefore, what you may be experience is swelling which can be mistaken as symmastia.  If you are not satisfied with your #final #results or if there are any concerns, it's best to consult with your plastic surgeon to further discuss your #options.

Larry S. Nichter, MD, MS, FACS · Answer

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.

Earl Stephenson, Jr., MD, DDS, MBA · Answer

No it does not appear that you have symmastia.  Symmastia represents on breast pocket across the center of your chest.  You have a very good result.

	Dr. ES

Naveen Setty, MD · Answer

Thanks for your question and pictures. It appears that you have had a very good result so far. Based on your pictures, it does not appear that you have symmastia. There may still be some residual swelling that will continue to decrease over time.

Jourdan Gottlieb, MD · Answer

This looks like a nice result. Symmastia occurs when the implants touch--clearly not the case. You may have some skin tenting, where the skin is lifted off the sternum, but not much, and chances are it will improve. Avoid bras that may push the implants up or together for the next few months. 

	Follow with your surgeon. All the best.

Benjamin Chu, MD, FACS · Answer

You have a nice result with closely spaced implants which result in close cleavage. You need to be careful with the type of bra you wear as most modern bras tend to push up and in. If you wear these bras on a daily basis the small amount of tissue separating the right and left implants may cause more tenting of the cleavage area ove time. You should wear a bra that does not push in. Avoid sports bra or pushup bras. You may try something similar to a Thong Bra. This bra tend to push the implants away from the midline and prevent symmastia.

Steven Wallach, MD · Answer

You may have some tenting, but I do not think you have symmastia. This may also get better as the swelling subsides.

Tom J. Pousti, MD · Answer

Difficult to give you precise advice online. However, based on the photographs it is clear that you do not have “symmastia";  some skin elevation ( tenting) may be present especially in certain positions or with the use of compressive bras/clothing. Whether or not this situation is permanent,  only time will tell.

	Overall, it seems like you have a very nice result;  I would suggest that you enjoy the outcome of the procedure and continue to follow-up with your plastic surgeon.

	 Best wishes.

R. Morgan Davoudi, MD · Answer

I think you'll be fine. You are still in the very early phases of healing and so I suspect some of the swelling in cleavage area will subside and you'll be very happy. In my opinion the inner dissection of your breast was done perfectly and not overdone at all which could have resulted in this very unusual complication mostly seen in very thin patients with very little soft tissue. Patience. Thank you for the question.

George Commons, MD (retired) · Answer

You appear to have a great result and there is no connection between your right and left breasts. The symmastia you worry about occurs only when there is basically a connection with the implants on R and L. You should do well and as your swelling decreases your fears will subside. Meanwhile go and visit you doctor and get some reassurance. My Best, Dr C

Do I Have Symmastia? Only 6 Weeks Post Op (photo)

Answers (10)

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