If a breast implant is not properly positioned behind the breast, the breast will look very odd. If it is too high, there will be an upper bulge and the nipple will tip down. If the implants are placed too low, the upper breast will be empty and the nipples will tip up. If they are placed too far out to the sides, cleavage will be absent and the nipples may tip inwards.
Can Symmastia be fixed?
Los Angeles plastic surgeon Dr. Steven Teitelbaum is an expert in breast revision surgery. He has corrected every type and every combination of these deformities, has written articles on it, and has taught new techniques for correcting them to many surgeons. One technique closes off the unwanted portion of the pocket in which the implant sits ("the capsule") with special stitches; this is called a "capsulorrhaphy."
Another technique is the "neosubpectoral pocket" or "neosubglandular pocket". This is a new technique which Dr. Teitelbaum has written about and taught to other surgeons, and it is based upon using the body’s own tissues to close off the pocket. If there is an instance when tissue is weak, Dr. Teitelbaum can reinforce it with an acellular dermal matrix (ADM), such as Alloderm® or Strattice.
Live patient video: Before and after symmastia correction surgery
Dr. Teitelbaum walks us through a patient's symmastia correction, from just before surgery through one day and one week after to demonstrate how this uncomfortable breast implant problem is corrected.
Dr. Teitelbaum was a member of the national plastic surgery task force that developed the Covid-19 protocols for plastic surgery offices. He is therefore well-versed in all of the recommendations and his office meets or exceeds all of them. By now you are familiar with all the obvious measures such as reminding patients and staff not to come to the office if they have any symptoms, taking temperatures, maintaining social distancing, having everyone wear masks, placing hand sanitizers everywhere, reducing the number of patients in the office at one time, testing all surgical patients, etc. One unique feature is that Dr. Teitelbaum’s operating room has "laminar flow" – a very advanced system that directs the flow of air from a large diffuser on the ceiling to exhausts near the floor, ensuring that the fresh air flows in one direction. This not only reduces the chance of COVID infections for the patients and staff, but it also reduces the risk of surgical infections.
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