What options do I have to get rid of my symmastia? (Photo)
Doctor Answers 3
Polyurethane implants might help
This is difficult surgery and can be expensive I am afraid. Look for a fully trained plastic surgeon, preferably one that specialises in breast surgery. Look for the letters FRCS(Plast) after their name - BAPRAS and BAAPS are the plastic surgery associations and they have lists of their members on the websites. If you can find someone who is or has been a consultant in the NHS, with a practice dealing in breast reconstruction, they may be best suited to help you. Good luck.
What options do I have to get rid of my synmastia
What options do I have to get rid of my symmastia?
Symmastia (or medial malposition or “uni-boob”) occurs when the breast implants move too far toward the midline--the two implants may actually touch one another in the center of the chest. If the horizontal muscle that is connected to the sternum and goes across the implant is cut during surgery, then the implant can move toward the middle of the chest.
Symmastia may result from overly aggressive attempts to alter chest wall anatomy trying to increase cleavage for patients. This outcome is made worse by use of larger implants in thin patients, and is a problem for implants over or under the muscle, though sub muscular implant placement allows the muscle to provide some softening of the transition to the cleavage area from the augmented breast mound.
In my practice, having used a variety of “techniques” for correction of symmastia, I find that the most reliable technique involves a 2 layer capsulorrhaphy (internal suture repair of the breast implant pockets along the cleavage area). Often, the use of acellular dermal matrix is helpful also. I have also been pleased with the (at least partial) correction of skin tenting that can be achieved with the use of the acellular dermal matrix.
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. Use of a smaller breast implant, if possible, may serve the same purpose.
Correction of implant malposition issues does require some experience; make sure your plastic surgeon can demonstrate his/her experience level. I hope this, and the attached link/video, helps.