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

 

 

Guten Tag Kandee! In my opinion the breast pocket has been over dissected in the center. This results in a condition called Symmastia.This can be a very tough revision and I do NOT recommend going with an even larger implant. What a doctor should do is complicated to explain to you and the techniques will vary depending on the surgeon. What you should do is make sure the surgeon you choose has a lot of experience in cases like yours and can show you examples of the outcomes they achieved. That is priority. That, and downsizing implants. Viel Glück! 

You have implant malposition. The implants have bottomed out. There are several reasons for this but weakness of the support system of the inframammary crease or violation of the crease during surgery can be one of the causes. This can be corrected in one operation by removing your implants and using a biologic mesh like SERI to support the implant and prevent a recurrence.

You are a 50Kg woman who after augmentation with way too large/wide implants weighs 12 Kg (26.4 pounds) more. Your implants, if they were 380cc weigh only 0.74Kg (or 1.6 pounds) but it is obvious that your chest wall was TOO narrow to accomodate them and the surgeon overly dissected the inner pockets resulting in "kissing implants", aka cyclops breasts or uniboob or Symastia.

Your stating "I will like they bigger" partially explains why the surgeon put in implants he should not have. The solution here is NOT to go bigger but to go smaller with implants which fit the size limitations of your chest wall and to try and repair the inter breast pocket communication which is not easy to do.

Hello Kandee,

It is difficult to tell whether or not you have symmastia, but I would be careful about rushing towards larger implants as they will quite possibly make the problem worse. You might be better off getting this chest problem fixed first. You need a good second opinion by a local qualified plastic surgeon.

 

Best Regards,

 

John Di Saia MD

 

 

If the pocket is not centered in the breast, or the implant is too large for the skin envelope, the breasts may run together in the center, called symmastia. Once the implants lift the skin in the mid chest it can be very hard to correct, and a larger implant is likely to make matters much worse. If you are lucky, a smaller submuscular implant can improve things.

Best of luck, peterejohnsonmd.com