Breast Implants Too Close Together - What Has Gone Wrong?

The implants that you have are already probably too large for your body.  If you go larger it will only exacerbate the issue.  I agree that using Acellular dermal matrix to reinforce the medial pocket would be a good idea along with using a smaller implant to fit the width of your chest wall.

Good luck,

Dr T

When the breast implants are too close together it is called "symmastia" or "synmastia." If the implants are under the muscle, then the attachment of the muscle along the breastbone (sternum) usually prevents it. If above the muscle it can be more difficult to repair and larger implants can make it even worse, especially of you already have high profile. So if they are over the muscle then going under will help. If the are already under the muscle, then it needs to be re-attached and probably supported with an acellular matrix graft such as Strattice (I don't know f it is available in Germany.)