This patient came to us after a previous augmentation performed elsewhere. She was experiencing a complication known as symmastia, where the breasts appeared to merge in the center of the chest. Our goal was to restore proper separation and create a natural, well-defined contour.
Understanding the Concern: Symmastia
Symmastia occurs when breast implants migrate too far inward, crossing the natural boundary between the breasts and creating a “uniboob” appearance. This condition can result from overdissection during a prior surgery or from implant positioning that fails to support the natural midline of the chest.
In this case, the patient was seeking correction of the cleavage area, improved implant placement, and a more natural shape overall.
Surgical Goals and Planning
A personalized plan was developed to address the structural issue and refine the results of her previous surgery. The two main components of her procedure were carefully selected to achieve both functional and aesthetic improvements.
Breast Revision
We performed internal repair of the implant pockets to restore proper separation and prevent further medial migration. This involved reinforcing the tissue between the breasts and ensuring the implants were securely supported in a more natural position.
Breast Augmentation
New implants were placed to restore volume and improve projection while maintaining a soft and balanced appearance. The size and shape were chosen based on the patient’s goals and what would best suit her frame following correction.
Together, these steps allowed us to achieve improved definition, better cleavage, and long-term implant support.
Recovery Experience
Recovery from breast revision and augmentation typically takes one to two weeks before returning to most normal activities. This patient experienced mild swelling and tightness initially, which is expected in cases involving structural correction like symmastia repair.
By her follow-up visits, she had returned to daily routines and was pleased with how quickly her results had begun to take shape.
Visible Improvements in the After Photo
The outcome of this procedure is clearly reflected in her after photo, where several key improvements are noticeable.
- Defined cleavage zone: The midline separation has been restored, eliminating the previously merged appearance
- Improved implant positioning: Both implants now sit evenly and securely within their intended pocket
- Balanced fullness: Volume is now more proportionate across the chest, with soft transitions between the upper pole and the chest wall
- Natural slope: The new contours follow the natural anatomy, avoiding the overly augmented look the patient had previously disliked
These changes brought her results closer to what she had originally hoped for with her first surgery.
Final Outcome
For this patient, correcting symmastia was not just about appearance. It was about feeling like herself again after a disappointing outcome elsewhere. She expressed relief and satisfaction with her new results and appreciated the restored definition and improved comfort in clothing.
Revision procedures require careful planning and technical expertise, especially when addressing complications like symmastia. In her case, a thoughtful approach made all the difference.
Thinking About Revision After a Prior Surgery?
If your original breast augmentation did not deliver the results you hoped for, or if you’re experiencing complications like implant displacement or symmastia, you’re not alone. Breast revision surgery in San Antonio can help correct these issues and give you results that feel right for your body and goals.
Schedule a revision consultation to explore your options and take the next step toward results you can truly feel good about.
