Revisionary Breast Augmentation Correction of Implant Mal-Position
| This 22 year old patient came to La Jolla California from Bonita, California to meet with Dr. Pousti to discuss her revisionary breast surgery. She previously had 2 other breast surgeries but was not happy with her results. She searched the internet for the “best plastic surgeon for symmastia correction” and found Dr. Pousti in La Jolla, California.
Symmastia – commonly referred to as breadloafing or uni-boob, occurs when two implants touch one another in the center of the chest. If the horizontal muscle that is connected to the sternum and goes across the implant is cut during surgery, then the implant can move toward the middle of the chest.
You can see here how the two implants communicate with eachother. Markings were performed the night before surgery.
When Dr. Pousti put pressure on the outer sides of the breasts, you can see how the two implants touch eachother in the “red area”.
The “red” markings show the area where the implants communicate and where Dr. Pousti will perform the internal suture technique to separate the implants.
In the operating room, care was taken to achieve as much symmetry as possible. At first, the markings were checked. The operation time varies depending on what exactly would need to be performed. We will review this with you after you have been examined by Dr. Pousti. For correction of symmastia, the procedure can take from 2-3 hours depending on how much work is involved. Board Certified Plastic Surgeon, Dr. Pousti takes his time in the operating room to make sure that he does what he can to achieve the patient’s results. The repair of symmastia requires additional surgery to move the implant back into the pocket of original placement. • The tissue that encapsulates the implant is cut and rolled back to fit into the pocket. The patient’s current implants were removed and after the internal suturing technique to separate the two sides, new silicone gel breast implants were placed.
Here you can see that with the internal suturing technique, separates the two breasts and even with pressure put on the outer part of the breasts, there is no communication between the breasts.
After the procedure, the patient will have supportive tape and a “thong bra” to support the areas where the internal suturing was performed. She will keep this bra on until directed by the office to take it off.
This patient is very early out of surgery and very happy with her results. |
