American Society of Plastic Surgeons
For Medical Professionals
 
Stacy052
11 months ago
Answered

Symmastia Repair

I had mild congenital symmastia and had a BA that resulted in severe symmastia. I have had one revision done to change my implants (moderate to high profile, 385 CCs) and added Galaflex mesh. The revision was not successful. I am wondering if this condition is treatable with another revision or if this is a permanent, life-long look I know have. If treatable, do you suggest I remove implants?

Procedure: Breast Implant Revision
Location: Denver, CO

Replies 5

Benjamin Van Raalte

If the after is the 3rd picture on the right that seems to be a good result

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Alfred Antonetti
ASPS Surgeon

It seems that you already had breasts that were close together, that you already had quite a bit of breast tissue of your own, that your chest is not very wide and that you have implants that I consider too large for your frame and tissues. The larger the implant, the bigger one has to make the pocket to accommodate it and it is already going to the sides. A moderate profile has a larger diameter with less projection, a high profile has a smaller diameter and an ultra-high profile the smaller diameter and bigger projection. You already have had a failed revision and the placement of the large implants I am sure did not help any. You could have another revision with replacement of the implants with smaller ones of the ultra-high profile or better yet, just have the implants removed with closure of the pockets and later reinsertion a few months later. This is just my idea and another plastic surgeon may differ with me. It is ok. Discuss all this with your plastic surgeon.

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Kenneth Francis
ASPS Surgeon

Stacy,

I don't often answer the questions here, but when I see a need to comment, I do. I don't know what your surgeon is saying, but, you do not have synmastia and your breasts look great in my humble opinion. Are they close to the midline? Yes. But, there is a clear delineation between each breast, that is even more apparent now then it was pre surgery. Not sure what you're looking for. I would call it great cleavage!

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Sasanka Chatterjee
ASPS Int. Surgeon

Very frankly, I do not see why you had the surgery at all. You must have insisted on a larger size. I suppose (if at all) you should have an exchange with smaller but high profile one.

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