| This 22-year old patient from Kansas City, Missouri is status post breast augmentation surgery in 2004 (performed by another surgeon). The patient was extremely unhappy with the results of her breast surgery — she had developed symmastia and “bottoming out”.
The patient looked into breast reconstruction surgery, and researched “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. Submuscular implant placement allows the muscle to provide some softening of the transition to the cleavage area from the augmented breast mound.
She found Dr. Pousti on the Internet and was impressed with his experience in revisionary surgery. After seeing the countless before and after pictures of successful symmastia repairs performed by Dr. Pousti, the patient was convinced Dr. Pousti was the best surgeon for her.
Markings were made prior to surgery. The “red” area is where the pockets will be fixed with internal suture technique.
Dr. Pousti demonstrates the implants moving toward the middle of the chest when pressure is placed on the outer area.
Previous implants were removed in the operating room.
In order to achieve her desired look, 550cc silicone gel implants made by Allergan Corporation were used and placed under the muscle; internal sutures were used to create an “internal bra” for the new positions of the implants. There is now a distinct separation of the two breasts.
Dr. Pousti sits the patient up to achieve as much symmetry as possible.
The patient is very pleased with the results of her surgery. The patient sent photos via e-mail for updates.
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