Do I have symmastia?

Question

Three months post. Slight separation after wearing a thong bra (khaki) but doesn’t last long before reverting (black top). Do I need revision surgery/smaller implants?

Paul E. Chasan, MD, FACS · Answer

Thank you for your question.  A large portion of my practice is dedicated to revision breast surgery. You do have mild symmastia. It is a straightforward fix in experienced hands. If you have confidence in your surgeon and he is experienced at breast revision surgery, in particular symmastia, I would have him fix this.  You should be able to have an excellent result. Best wishes to you.

Gary M. Horndeski, MD · Answer

Yes, you have symmastia. Your implants are wider than your chest wall. You will need smaller based diameter implants and you will need the medial aspect of the pocket reinforced to prevent symmastia reoccurring.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Mats Hagstrom, MD (license on probation) · Answer

I don’t think you have true symmastia, but you’re implants are larger than the natural diameter of your breast and that volume has to go somewhere.
At this point, you can either live with the results, considering decreasing the implant size, or have a surgeon attempt to close the medial aspect of the implant pocket. Partially closing, the implant pocket is technically challenging, and should only be attempted by those who have experience and success doing that procedure. Ask surgeons to show you before and after pictures if considering revision surgery, other than simply downsizing your implants.
 to make an accurate assessment on the outcome of a plastic surgery procedure with generally always need to see proper before and after pictures. If you don’t have before, and after pictures and ask your surgeon to forward, the pictures they took.
Best,
Mats Hagstrom, MD.

Do I have symmastia?

Answers (3)

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