Do I have symmastia and should I consider a revision? Over 1 year post op. (photo)

Question

I had a breast aug done over a year ago and the doc told me I could fit 500 hp silicon. I’m just now realizing that the skin connects at the bottom where the sternum is and I do have raised skin there too. I just absolutely hate the thought of having to have a revision and I have so much anxiety over this. My husband never even noticed the issue. I’m just wanting an honest opinion from a doctor if you think this needs to be corrected . Thanks so much

Ronald J. Edelson, MD · Answer

Synmastia is so uncommon after breast implants. I’ve never seen an actual case. I doubt you have synmastia. It’s a nice result and you should enjoy it. You have great cleavage which is not always achievesble

Gianfranco Frojo, MD · Answer

I think that downsizing implants with a smaller volume and smaller base width may be all that is needed. It is difficult to provide optimal recommendations based on the single photo that does not truly show the issue in its entirety. I would see an experienced aesthetic plastic surgeon to get an opinion on this issue.

John Michael Thomassen, MD · Answer

Yes, this is symmastia.  A correction by suturing the capsule medially on both sides should correct this.

Camille Cash, MD · Answer

Symmastia is when the skin is lifted and the implants can be moved from one side to the other.  Your photo doesn't demonstrate this.  If you are not bothered by the appearance it is not medically necessary to correct it. Visit with your surgeon to discuss your concerns.

Christopher Pannucci, MD, MS · Answer

Hi MIssytexas08,
Based on the photo, you have a sharp cleavage and a visible right to left separation. If you can't push the implants across midline (eg something not seen in the photo), then there's no concern...synmastia is either where you have no clear right to left separation between the breasts, or where the right and left breast pockets connect across the midline. 
Any revision would be driven by whether something bothers you--based on the photo, there is no reason you have to have a revision.
Hope this helps.
Best,Christopher Pannucci MD MSBoard Certified Plastic SurgeonPlastic Surgery NorthwestSpokane, Washington

Gary M. Horndeski, MD · Answer

You can see in your photograph that your implants are in front of the muscle, are bottoming out and you are getting symmastia.  I recommended smaller implants and plication medially.

Best Wishes,

Gary Horndeski, M.D.

Do I have symmastia and should I consider a revision? Over 1 year post op. (photo)

Answers (11)

Answer: Symmastia

Answer: Symmastia

Answer: If it doesn't bother you, then no revision needed

Answer: If it doesn't bother you, then no revision needed

Answer: Smaller implants

Answer: Smaller implants

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.

Do I have symmastia and should I consider a revision? Over 1 year post op. (photo)

Answers (11)

Answer: Symmastia

Answer: Symmastia

Answer: If it doesn't bother you, then no revision needed

Answer: If it doesn't bother you, then no revision needed

Answer: Smaller implants

Answer: Smaller implants

Browse related questions

Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.