Understanding Symmastia and Implant Malposition
For some individuals following breast augmentation, a condition known as symmastia may occur, where the breasts can appear joined at the centre of the chest due to implant malposition. This condition, sometimes referred to as ‘uni-boob,’ can arise from factors such as surgical technique, individual chest anatomy, or complications such as capsular contracture, which is the tightening of scar tissue around the implant. For those experiencing this condition, breast revision surgery can provide options for repositioning implants while considering the shape of the breast.
Key Causes of Symmastia
Symmastia occurs when breast implants shift or migrate inward, reducing the natural separation between the breasts. Causes of this implant malposition may include:
- Surgical Technique: Factors such as implant size, placement, and pocket creation during the initial surgery can impact positioning.
- Capsular Contracture: This condition causes scar tissue around the implant to tighten, potentially pushing the implants closer together.
- Natural Anatomy: Individual chest shapes can affect implant positioning, with some anatomies more prone to midline malposition.
Approaches to Symmastia Correction with Revision Surgery
When symmastia occurs, revision surgery for symmastia may help by repositioning implants, adjusting the internal breast pocket, or using reinforcement techniques to support implant stability. Symmastia correction surgery is tailored to each patient’s unique needs, with options that address the underlying causes of implant movement. Consulting with a surgeon experienced in breast revision surgery is essential to determine the most appropriate technique.
Surgical Options for Correcting Symmastia
Several surgical options for symmastia may be employed to address this condition, depending on individual factors:
- Capsulorrhaphy: Capsulorrhaphy involves tightening the capsule around the implant using internal sutures. This technique helps secure the implants within their designated pocket and limits further movement toward the midline.
- Correction of Capsular Contracture: If capsular contracture is present, releasing or removing sections of the tight capsule can relieve tension around the implant, potentially reducing discomfort and restoring natural positioning.
- Acellular Dermal Matrix (ADM) Reinforcement: For individuals requiring additional support, ADM can provide an added layer that may help stabilise implant positioning. This structural support is often beneficial when tissue quality or implant stability requires reinforcement.
- Implant Adjustment: In some cases, changing the implant type, size, or placement may be recommended to support a suitable outcome. For example, switching to a smaller implant or adjusting the implant pocket may help maintain shape.
What to Expect from Breast Revision Surgery
For those considering breast revision surgery to address symmastia, a consultation with a qualified specialist plastic surgeon is essential. During this consultation, the surgeon will assess factors such as implant position, the presence of capsular contracture, and anatomical considerations. This assessment allows for a tailored surgical plan that focuses on individual health and surgical needs rather than cosmetic outcomes.
Recovery and Post-operative Care
Recovery times after symmastia correction surgery can vary based on the complexity of the procedure. Patients are typically provided with detailed post-operative care instructions, which may include activity restrictions, wearing supportive garments, and scheduling follow-up appointments to track healing. These steps are intended to support the recovery process.
Final Thoughts
Addressing symmastia through breast revision surgery can provide options for individuals dealing with challenges related to implant malposition. Consulting with a qualified specialist plastic surgeon experienced in breast revision surgery allows patients to discuss their treatment options and understand the factors involved. Whether the issue arises from capsular contracture, surgical factors, or individual anatomy, correction surgery for symmastia can offer a personalised approach that prioritises health and patient care.
