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Synmastia
Synmastia, commonly also referred to as symmastia, is an
abnormal breast condition
created by a rare, but potentially serious
breast implant complication.
This condition is characterized by the migration of the
breast implants
towards the middle of the chest, creating one solid mass of breast tissue lacking a distinct separation or cleavage. Other less scientific names for symmastia include breadloafing or uniboob.
Symmastia FactsThe condition can affect women immediately after augmentation surgery or at any time in the future. Most cases present themselves within 4 months after breast enlargement surgery. The condition can occur in submuscular, subglandular, subfascial or subpectoral placements. There are varying degrees of symmastia, ranging from overly enhanced and pushed together cleavage to the complete joining of the breasts into one solid structure.Causes of SynmastiaBreast implant migration can be caused by any number of factors working as a sole causation, or in combination with each other. These causative criteria include:* Over dissection of the implant pocket close to the center line of the chest. This is an
iatrogenic
surgical error and is the sign of a poor or inexperienced
plastic surgeon. * Implant migration is more common in women who have undergone more than one augmentation procedure. * Anatomical tissue structure and musculature can play a role in encouraging implant migration. Generally, implant migration is due to direct surgical error or poor planning on the part of the operating cosmetic surgeon. Treatment for SynmastiaBreast implant migration is a difficult condition to repair. There are a variety of treatments which are used to reverse the chest deformity. External suturing through the skin is a poorly designed treatment which often leaves considerable visible scarring and rarely corrects the condition permanently. A far better choice is implant revision surgery in which the pockets will be reinforced from the inside. Scar tissue will be rolled into the inner aspect of each implant pocket, strengthening it and allowing the placement of permanent internal sutures to hold the skin and tissue to the breast bone. Once the pockets are fixed, the implants can be reinserted without recurrence. Additionally, a T-front or “thong” bra is often prescribed to help maintain the space between breasts during the healing process.Recommendation on SynmastiaThis is a very disturbing condition for any affected patient. Severe cases really distort the body and create a visually frightening appearance. Add to this fact the difficulty of correction and you have a real problem on your hands. Learning which procedures work well for implant migration correction is half the battle. Avoiding poorly planned or ineffective treatment strategies will save you considerable time, suffering and money, as you look for a permanent cure for your symmastia problem. Make sure to hire a knowledgeable and experienced corrective surgeon who can ensure good results from any reparative procedure. If you have patience and follow an indicated surgical correction regimen, you will finally achieve the beautiful breasts you desired from the beginning of your augmentation experience.Breast Plastic Surgery Interactive Forum Synmastia to Breast Implants Home 12/2/07 Revised 11/24/09
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