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Return to: Home » Health Articles : How Symmastia Correction Procedures Work
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Breast Implant Revision Cost & Profile
- Avg. Cost: $3375
- Candidate: Small, disproportionate breasts
- Length: 1-2 hours
- Treatments: One
- Results: Permanent possible implant replacement
- Back to work: 1-2 weeks
Common Questions & Answers about Breast Implant Revision
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How Symmastia Correction Procedures Work
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If you have had breast implants but the implants were misplaced, the malposition may be causing the ‘uniboob’ effect where there is no space between the two breasts. According to Dr. Tom Pousti, a board certified plastic surgeon at Pousti Plastic Surgery, this often occurs when there is not enough natural tissue support along the chestwall, or the surgeon has been too aggressive in creating cleavage for the patient.
Another reason malposition occurs is because the pectoralis muscle is cut dring surgery, enabling the implant to move toward the middle of the chest. The scientific term for this effect is called symmastia, and a corrective procedure is required in order to restore the implants and breasts to their appropriate shape and size.
About Symmastia
Ideally, the chestwall will have enough muscle to support the increased breast tissue and creates a natural slope when the patient is lying flat on her back. If there is not enough muscle between the breasts, the natural breasts will simply fall to the side.
Symmastia typically occurs in thin women who have very little existing breast tissue or fat around their breast bone. When large implants are used on these patients, the implant can slowly shift across the breast bone, thereby creating the ‘uniboob’. Some surgeons release soft tissues or muscles along the border of the sternum in order to increase cleavage, but this can be extremely difficult to correct and often results in symmastia.
In some cases, a constricting capsule forms around excessively large implants, which creates a ‘rippling’ effect and the makes the breasts appear very unnatural. In this situation, the breasts can be restored with a symmastia correction procedure.
The Symmastia Correction Procedure
Symmastia can cause a number of problems in the overall shape of the breasts and often results in the shifting of the nipple-areola complex. Every patient is different, so the symmastia correction procedure may require complete removal of the implants before adding suture reinforcements that will better support the replacement, removal of the extra breast implant capsule, and opening of the breast pocket to allow for better positioning of the implant. In some cases, replacing the original implant with a smaller size can help improve results.
The symmastia correction procedure typically takes between two and three hours, depending on how much work is involved. According to Dr. Pousti, the basic process of the symmastia correction procedure is as follows:
1. An incision is made (usually under the areola) to expose the underlying tissue, muscle and implant
2. The tissue that surrounds the implant is removed in the area of the planned repair
3. The tissue is sutured together to hold the implant in place (using permanent sutures)
4. The incision is then sutured close
After the procedure, compression garments and a pressure bra can help to improve healing and ensure better symmetry of the breasts. Most patients need to get plenty of bed rest after surgery, drink lots of fluid, and take pain medication. It can take up to a week to recover from the procedure, and the specially-fitted bra will need to worn for approximately one month after the procedure.
Learn more about breast revision surgery in our information guide.
Published: 07/03/2009, Last Updated: 07/03/2009
By Tom J. Pousti, MD, FACS and LocateADoc.com Medical Staff Writers
Dr. Tom Pousti is a board certified plastic surgeon who performs all surgical procedures and provides postoperative care with a team of highly-trained staff at Pousti Plastic Surgery. He is a dedicated, skilled surgeon with extensive experience in the areas of breast implant procedures, tummy tucks, face lift surgery, lipoplasty and rhinoplasty. Learn more about Dr. Tom Pousti here.
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If you have had breast implants but the implants were misplaced, the malposition may be causing the 'uniboob' effect where there is no space between the two breasts. This is called symmastia, and can be corrected with a special technique.
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Related Subjects and Keywords: symmastia breast implant revision breast revision surgery symmastia procedures breast augmentation
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