Symmastia after surgery. 1 week post-op with anatomical, 300cc implants. (Photo)

Question

My breast are too close after surgery. Do I have symmastia, do I need to wear tong bra. Thank you.

Martin Jugenburg, MD · Answer

Thank you for your question. Based on your photo, you do not have symmastia. However, I would still speak to your plastic surgeon for more specific post op instructions to prevent it.

G. Robert Meger, MD · Answer

Dear Mycontract:  It is quite early in your postoperative course and your body has yet to make enough room to comfortably fit your implants which is why they appear compressed and a bit misshapen.  This will improve over time and they will look more natural.  You do not have a synmastia.Best of luck to you!G. Robert Meger MD

Daniel Barrett, MD · Answer

Dear mycontract,based on your photo, it doesn't look like you have symmastia. I understand your concern and it is quite normal to be concerned about the outcome following a breast augmentation surgery. However, you are still in the very early stages of the healing process at 7 days  post op.Your 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 around the implants are still swollen. Once the swelling subsides and the implants drop to their final position, you will be able to see the final result of your breast augmentation surgery.Daniel Barrett, MD, MHA, MS 
Certified, American Board of Plastic Surgery  
Member, Am. Society of Plastic Surgery

James H. Rogers, MD · Answer

From your photo, it does appear that you may have a symmastia. You dont mention if the implants were placed  on top of the muscle , as appears to be the case. If so, relocating them to a submuscular position would address the problem. Otherwise, a casulorraphy procedure would be required to correct. You should discuss your concerns with your surgeon.

Ted Eisenberg, DO, FACOS, FAACS · Answer

You do not appear to have symmastia. Bra wearing protocols vary from surgeon to surgeon. You should check with your surgeon's protocol. At 1 week you are about 5 percent healed, settled, softened, shaped, dropped and fluffed. Much change is coming.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author

Paul M. Parker, MD, FACS · Answer

While your implants and breasts are close to one another, you do not appear to have symmastia. Be sure to follow up with your surgeon so that they may monitor your progress during your recovery and answer all questions such as the one you are raising about symmastia.

Christopher J. Davidson, MD, FACS · Answer

Thank you for your question and photograph.  Your photograph does not indicate that you have symmastia.  My strong advice is to wait a full 4-6 months before considering the final result of your breast augmentation and to follow-up with your plastic surgeon regarding his/her advice regarding a compression or thong bra.  Best of luck.

Donovan Rosas, MD · Answer

It does not appear that you have a symmastia as the medial border of the breasts, while close, are well defined.You are very early in the healing process and your result will continue to evolve over the next several weeks. I would encourage a measure of patience.As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Robert M. Tornambe, MD · Answer

First off, it does not appear that you have synmastia.  Also way too early to be concerned as your body needs time to recover.  Try to stay patient and followup with your board certified plastic surgeon. Good luck!

Gary L. Ross, MBChB, FRCS · Answer

Things will change a lot over the coming weeks and it is too early to be able to assess the result. The implants are close but you do not appear to have symmastia. Best to ask our PS about garments / bras.

Symmastia after surgery. 1 week post-op with anatomical, 300cc implants. (Photo)

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