Breast Augmentation and Intermammary Sulcus

Bringing the breasts closer during breast augmentation

Breast augmentation aims to create perfect harmony, ideal proportions, generous volume, a toned shape, and striking attractiveness to enhance the appearance of the breasts.

 

By combining breast augmentation with a breast lift, the cosmetic surgeon can achieve remarkable results :

  • It lifts and firms the breasts while maintaining the original volume;
  • Improves the consistency and shape of the breast by filling volumes;
  • It can lift the breasts, improve their profile;
  • Corrects the space between the two breasts and fills or distances the intermammary sulcus;

Why are breast implants sometimes too far apart?

It is essential to ensure a perfect breast augmentation procedure to avoid the unpleasant problem of excessive spacing between breast implants. The intermammary sulcus area must be carefully prepared in the center, as it is more difficult to obtain the optimal profile to accommodate the implants. This will guarantee harmonious and aesthetically pleasing results.

This is particularly true in the case of dual-plane and submuscular breast augmentation. Working on the side is easier, and many surgeons create space for breast implants there. However, patients need little space between the breasts, and to accommodate them, a meticulous technique is required at the intermammary sulcus level to bring the implants closer together without canceling the coverage provided by the pectoral muscle.

  Breast Augmentation  

Breast augmentation and the risk of symmastia

What is symmastia?

Symmastia is a rare breast phenomenon, which can be either iatrogenic, i.e., resulting from a breast augmentation surgical procedure, or congenital.

In either case, it presents a unique condition where the tissue that unites the two breasts along the midline of the chest, at the level of the intermammary sulcus, detaches from the sternum, creating the illusion of a single breast.

 

Symmastia, also known as medial migration of implants, is one of the possible complications of breast augmentation surgery, as is capsular contracture, rupture of breast prostheses, lateral displacement of breast implants, and implant droop.

When the prosthetic pockets communicate with each other along the midline, this leads to migration of the breast implants towards the sternum.

 

Why does symmastia occur after breast augmentation surgery with prostheses?

Once you have undergone breast augmentation surgery with implants, it is possible to experience an unpleasant feeling of tension in some cases. This can give the impression that the skin does not fit perfectly to the sternum. The implants may converge and touch each other.

 

The main reasons for this situation are the following:

  • The implants are too large compared to the size of the original breast;
  • One or both implants are positioned too close to the sternum;
  • The implant insertion technique is not appropriate;

When you have breast augmentation with prostheses, it is important to keep in mind that it is best to wait at least two months before judging the result. Swelling and edema may persist in the first few months, so it is important not to rush into an immediate evaluation. Take your time to allow your body time to heal and obtain optimal results.

To better care for your breasts after surgery, it is recommended to wear a postoperative bra for a few months. This will help maintain their shape and help the surgeon assess any potential problems such as symmastia.

 

How to avoid symmastia after breast augmentation with prostheses?

If you are considering surgery to increase the size of your breasts, it is crucial to call upon a competent and experienced expert.

Choosing a qualified surgeon is the first step to prevent the risk of symmastia, as well as any other potential complications related to breast surgery.

 

The first step towards a more pleasant life is to get your doctor's opinion on the choice of the prosthesis best suited to your morphology, so that you feel beautiful and feminine.

They will carefully study the possibility of performing a submuscular, subglandular, or combined breast augmentation.

 

During the operation, it will be essential for the surgeon to create the prosthetic pockets in the tissue of both breasts, ensuring that they do not approach the midline of the chest. This precaution will avoid any damage to the intermammary cleft. Indeed, this is a crucial step to guarantee the success of the process and obtain an optimal result for the patient.

 

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Alternative Treatments

There are several alternative treatments for those seeking to improve the appearance of their breasts without resorting to traditional breast implants. Among these options are breast lifts, fat grafting, and breast implants.

The breast lift, or mastopexy, is a procedure that involves removing excess skin and tightening the surrounding tissue to reshape and support the new breast contour. This technique is ideal for those who wish to correct breast ptosis without adding additional volume.

Fat grafting, also known as lipofilling, involves using the patient's own fat, usually harvested by liposuction from another part of the body, and reinjected into the breasts. This method offers a more natural result and avoids the use of foreign materials, although the added volume may be limited compared to implants.

Breast implants, on the other hand, remain a popular option for significantly increasing breast volume. Available in various shapes, sizes, and materials (such as silicone or saline), they allow for customized results based on the patient's expectations.

Each of these options has its own advantages and disadvantages, and the choice of treatment should be made in consultation with a qualified surgeon, taking into account the patient's aesthetic goals and medical considerations.

 

Assessments to be made when choosing breast prostheses

The choice of the type of prosthesis to be used for the operation is of fundamental importance in order to guarantee a final result that is feminine, natural and harmonious, but also to minimize the risk of complications.

 

A beautiful chest has always been synonymous with femininity. The reasons for the dissatisfaction of women who present themselves for breast augmentation are varied, as they can depend on both physical and psychological factors. Nowadays, many women aspire to find a permanent answer to their discomfort by opting for breast augmentation surgery, which is becoming increasingly precise and efficient.

 

To begin, it is essential to consult a qualified cosmetic surgeon who, through preliminary discussions, will guide and accompany you in choosing the most appropriate shape for your face. Each situation and morphology requires a specific procedure and method. Unlike bra sizes A to D, implant size is not measured in bras, but in grams (g).

To obtain a natural result and meet your expectations, the size of your breasts will be determined in collaboration with the surgeon, taking several factors into account. Indeed, it will depend not only on the size of your breasts, but also on your desire to be within a specific range. We will thus ensure that the chosen size is in perfect harmony with your morphology and your wishes.

 

Let's see how many sizes correspond to cc implants, to get an idea of the size that might suit you:

  • 150/200 g: a little more than one size above your natural breast;
  • 280/300g: at least one/two sizes larger;
  • More than 400g: more than two sizes larger;

 

Recovery Time

The recovery period after breast augmentation is a crucial step in ensuring optimal healing and satisfactory results. In general, it is recommended to plan one to two weeks of rest before resuming light activities, while strenuous physical activities should be avoided for at least six weeks. During this period, it is essential to follow the postoperative instructions provided by the surgeon, such as wearing a supportive bra, avoiding sudden movements, and monitoring for any signs of infection. Good recovery management not only reduces complications but also ensures lasting and harmonious aesthetic results.

 

Success Rate

With a 98% success rate, breast augmentation is one of the most reliable and effective cosmetic surgery procedures. This high success rate reflects not only technological advances and modern surgical techniques, but also the professionalism and expertise of plastic surgeons. Patients can therefore benefit from significant improvements in their appearance and self-confidence, with minimal risk of complications. However, it is essential to choose a qualified and experienced surgeon, to scrupulously follow pre- and postoperative instructions, and to have realistic expectations to ensure optimal results.

 

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