Breast Implants Too Close Together - What Has Gone Wrong?

Symmastia is a condition which can occur when the implants are too close together. Patients often refer to this as a “uniboob.” Occassionally, the space or pocket for the breast implant is created towards the center, or the tissue stretches, forcing  the implants to fall too much towards the center of the breasts.  Correction of this problem may involve using different implants such as textured, a smaller size, or a smaller base and placing the implants in a new #pocket. On occasion, this may require surgery in more than one stage to allow the tissues to heal and then place the implants. If the implants have been placed above the muscle, converting them under the muscle frequently will help and, again, the use of a dermal substitute may be required for additional support if the tissues are thin. The techniques of #capsulorrhaphy and #neopectoral pockets may apply here as well.  Additional elective cosmetic #surgery is a personal choice. Your procedures should always be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Your breast show problem called a symmastia. Often implants placed too close to the midline can cause elevation of the skin. This is also more common with sub glandular placement rather than  sub muscular.

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.)

dear kandee, there are several options. either the implant pocket can be altered, the style of the implant (measurements of the base, the projection of the implant) or sometimes both alterations are needed. you should discuss this in detail with you plastic surgeon and make sure that your PS understands what are you aiming for. best of luck,

bianca knoll, MD frankfurt