Introduction:
Symmastia was first described as the medial confluence of breast parenchyma across the ventral midline. This paper highlights the technique and outcome of revision surgery for symmastia following augmentation mammaplasty (AM). It is uniquely, the largest single source series reported to date. Methods:
A total of five patients underwent revision surgery (2004 – 2006) for correction of iatrogenic symmastia. Data accrued retrospectively included: patient demographics implant characteristics; interval between procedures; number of procedures; the original and subsequent implant placement; operative findings and outcomes. Results & Discussion:
Corrective interventions included: implant exchange, pocket re-positioning, lateral expansion capsuloraphy, medial pocket plication, reconstitution of infero-medial border of the pectoralis major muscle and postoperative taping.
|
|
Case 1 |
Case 2 |
Case 3 |
Case 4 |
Case 5 |
|
Implant size (cc) â–ª explant â–ª new implant |
 250 295 |
 450 1000 |
 430 365 |
 510 410 |
 300 525 |
|
Implant placement â–ª explant â–ª new implant |
 SM SM |
 SG SG |
 SM SG |
 SG SM |
SM SM |
|
No. of procedures |
2 |
3 |
2 |
2 |
4 |
|
Follow up (months) |
17 |
16 |
14 |
2 |
3 |
Conclusion:
More than one intervention is often required to achieve a satisfactory outcome. We discuss the techniques available and outcomes.
*Sub-glandular SG, sub-muscular SM