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La Jolla/ San Diego Cosmetic Surgeon Dr. Tom Pousti Talks about Symmastia Correction
Description
 One of the more common problems that patients are seeking Dr. Pousti’s help for is symmastia. 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 chest wall anatomy trying to increase cleavage in patients. This outcome is made worse by use of larger implants in thin patients, and is a problem for implants over or under the muscle, though sub muscular implant placement allows the muscle to provide some softening of the transition to the cleavage area from the augmented breast mound.
markings are performed prior to surgery
Since Dr. Pousti has experience with symmastia repair, many women from around the country choose to fly to La Jolla or San Diego to obtain his services. If you are not from the La Jolla, San Diego or Temecula/Murrieta Valley area, please visit Fly in for Surgery to learn more about our out-of-town accommodations and scheduling information.
If you live in La Jolla, San Diego or Temecula/Murrieta Valley and you would like more information or to schedule a consultation, please call our offices at (619) 466-8851, (858) 454-6888 or (951) 501-9822.
The Surgical Procedure
For correction of symmastia, the procedure can take from 2-3 hours depending on how much work is involved. Board Certified Plastic Surgeon, Dr. Pousti takes his time in the operating room to make sure that he does what he can to achieve the best result for the patient. The repair of symmastia requires additional surgery to move the implant back into the pocket of original placement. All sutures are internal – there are no new scars placed on the breasts.
- The tissue that encapsulates the implant is cut and rolled back to fit into the pocket.
- Tissue is sutured together to hold implant in place.
- The muscle is then sutured internally back in place, connecting the sternum.
- The incision is then sutured close.
Prior to Surgery
After Symmastia Repair
During your consultation at our San Diego or Temecula/Murrieta offices and after a thorough examination, Dr. Pousti will discuss every detail of your breast augmentation, including the exact size and type of breast implants he will use and their relative advantages. This procedure to correct symmastia is performed on an outpatient basis at our surgical center in San Diego under general anesthesia.
What To Expect After Surgery
Bed rest, along with plenty of fluids, is necessary after surgery. Your chest will be sore. Pousti will prescribe appropriate pain management medications. Take your medication regularly and keep your office visits. Usually after a week, you will begin to feel back to normal.
A brassiere and bandeau will be fitted for you during your first week of recovery. These will need to be worn for a month. You will not be able to shower until your sutures are removed. Initially, breast implants will appear to be slightly higher than normal and your breasts will be swollen. Over time, the breast implants will descend to a more natural position.
The bra that is worn after symmastia repair is referred to as the “thong bra”. It is used to stabilize the area after symmastia reconstruction. This will allow the sutured area between the breasts to heal properly without excessive pressure being applied to the area.
Patient Emailed Pictures 7 months post op Symmastia Repair
Resumption Of Physical Activities
Driving may be resumed in 1-2 weeks.
Non-contact sports in 3 weeks.
Contact sports and lifting heavy objects in 6 weeks.
Patient Testimonial
I lived with symmastia for 9 years and lots of discomfort and some pain through out the years. i had my first breast augmentation done in Mexico. Through out the years I have been very unhappy with the look of my breast. I was embarrassed to wear a bikini or any low cut shirts. When I was doing some research on symmastia I came across with Dr. Pousti web site I became very excited to be able to find a Dr. that provide before and after pictures of symmastia I had always thought it was just me with this problem. when I went through the pictures I just wanted to cry of excitement because there is a Dr. that is able to fix that kind of problems. when I first talk to Dr. Pousti’s staff over the phone they were very friendly. Since I live in Arizona they worked with me through the phone and emails. They where able to work out a date that was fitting for me for my consultation and pre-op appointment that’s when I first meet Dr. Pousti and his staff. Daisy, Vanessa and staff really made me feel welcome and like we knew each other for many years it was great. When I meet Dr. Pousti he took a look at me and told me that he was able to fix my symmastia and would be very happy with the results. He reassured me that he was able to fix it that there wouldn’t be a problem and that not to worry. That was the greatest feeling ever I felt lost of comfort and I was very sure that I had picked the correct Dr. for my problem.After my surgery Dr. Pousti and Staff was in contact with me to check how things was going.It made and makes me feel like I wasn’t just A dollar bill to them they really do care.It’s been one month since my surgery and everything is going great I am extremely satisfy with the results. I can’t believe how much of a difference there is from before and after i honestly can’t stay away from the mirrors it is just so amazing Dr. Pousti went all out he did a wonderful job I have been recommend him to everyone he is the right Dr. to go to I just wish that I knew about him a lot sooner. I will always continue to recommend Dr. Pousti to all my friends that are considering on getting any work done. He is a great Dr.. Thank you very much Dr. Pousti you are a wonderful doctor and you have a great staff!
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Click here to learn more about San Diego Cosmetic Surgeon, Dr. Tom Pousti. To schedule your cosmetic surgery consultation in our San Diego office, call (619) 466-8851 or email appointments@pousti.com.
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