Revisionary Breast Surgery: Symmastia Correction Silicone Gel Implants
| This 30 year old patient from Scottsdale, Arizona found Dr. Pousti when she was searching for the “best Plastic Surgeon” to assist her in correcting her symmastia. She had multiple conversations with Dr. Pousti on the phone and felt very comfortable with his experience level. She had had multiple surgeries performed without success and wanted to make sure that surgery #3 would work.
After seeing the results that Dr. Pousti has achieved for other patients in the same situation, this patient decided to proceed with revisionary breast augmentation surgery and symmastia repair.
In the operating room, Dr. Pousti took his time marking the areas of implant mal-position. He wanted to correct the symmastia, improve the position of the breast implants and get a more symmetrical result for the patient. 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. Symmastia results from overly aggressive attempts to alter chestwall anatomy trying to increase cleavage in patients.
The Surgical Procedure 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 best result for the patient. The repair of symmastia requires additional surgery to move the implant back into the pocket of original placement. All sutures are internal – there are no new scars placed on the breasts. * The tissue that encapsulates the implant is cut and rolled back to fit into the pocket. * Tissue is sutured together to hold implant in place. * The muscle is then sutured internally back in place, connecting the sternum. * The incision is then sutured close.
These supportive bras are worn to give support to the area that was corrected with internal sutures. The “T-Bra” is worn for 3 months to continue to give support.
This patient is only days out of surgery and extremely happy with the separation of her breasts. |
