This 36-year old out-of-town patient was unhappy with the appearance of her breasts and was interested in revisionary breast surgery. The patient is status post breast augmentation surgery in 2003 and revisionary breast surgery in 2003 and again in 2009 and was not pleased with her results.

Due to symmastia and rippling, the patient was very unhappy with the results of her surgery and she experienced pain on the sternum area.

After researching for a Board Certified Plastic and Reconstructive Surgeon who is experienced in symmastia repair to perform her breast revision surgery she came across Dr. Pousti and was impressed with his experience.

Symmastia – commonly referred to as “bread loafing” 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. This outcome is made worse by use of larger implants in thin patients.  The “red marks” above are where Dr. Pousti will be placing the pieces of AlloGraft to help support the internal sutures.

Her previous implants were removed, and internal sutures were used to establish the “new” breast pocket.

AlloDerm was also used to improve the rippling by putting an extra layer of coverage between the implant and the skin due to the patient’s thin skin and minimal breast tissue.

The internal sutures create an “internal bra” to hold the new implants in it’s new position.

With the symmastia repair, improved appearance of her breasts by creating separation in her cleavage.

700cc silicone-filled breast implants were used in both breasts with submuscular placement.

Updated pictures will be soon posted, sent via e-mail by the patient.