What does it mean to overcorrect the inner pocket in regards to symmastia or pocket repair? Should I be concerned?

After having a revision due to mild symmastia, I developed a small dent. I've read online about overcorrection. What does that mean? Is that a bad thing?

Answers from doctors (13)


More About Doctor Harry Glassman, M.D.

Published on Dec 21, 2018

Synmastia occurs when the pockets containing the implants communicate with one another across the midline. Repair is simply closing the communication. If the closure of the pockets is done in an overly-aggressive manner or done irregularly, a dent or asymmetry may occur.

Answered by Harry Glassman, M.D. (View Profile)

Synmastia occurs when the pockets containing the implants communicate with one another across the midline. Repair is simply closing the communication. If the closure of the pockets is done in an overly-aggressive manner or done irregularly, a dent or asymmetry may occur.

Published on Jul 11, 2012


Larry Leverett, MD, FACS

Published on Jun 08, 2016

The best time to get a perfect result is at the first operation. Any efforts afterwards are to improve the undesired result. If there is a small dent, it is usually a very reasonable tradeoff in comparison to the issue being repaired.

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Answered by Larry Leverett, MD, FACS

The best time to get a perfect result is at the first operation. Any efforts afterwards are to improve the undesired result. If there is a small dent, it is usually a very reasonable tradeoff in comparison to the issue being repaired.

Published on Jul 11, 2012


Barry J. Kaplan, D.O.

Published on Jun 02, 2016

Don't read online information from "the people", ask your surgeon. Repair of synmastia requires suturing the pocket on the inside, and it is not overcorrected. A small dent may occur if the dermis was picked up while suturing the capsule, and this may resolve over time but not always as the suture to repair the synmastia should be a permanent suture.

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Answered by Barry J. Kaplan, D.O.

Don't read online information from "the people", ask your surgeon. Repair of synmastia requires suturing the pocket on the inside, and it is not overcorrected. A small dent may occur if the dermis was picked up while suturing the capsule, and this may resolve over time but not always as the suture to repair the synmastia should be a permanent suture.

Published on Jul 11, 2012


ELLIOT B. DUBOYS, MD, FACS

Published on Apr 28, 2016

Symmastia is when the inner aspects of each breast become one, denying you cleavage. It is very difficult to repair. Did it happen to you?

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Answered by ELLIOT B. DUBOYS, MD, FACS

Symmastia is when the inner aspects of each breast become one, denying you cleavage. It is very difficult to repair. Did it happen to you?

Published on Jul 11, 2012


More About Doctor Christopher Pelletiere, MD

Published on Apr 22, 2016

In complex breast revisions--symmastia falls in that category--it is always best to overcorrect the repair at first since the tissues will relax over time. If the repair looks perfect at first, it may not be enough when everything settles over three months. If you have an indentation somewhere, this most likely will go away on its own. Just be patient. I hope this helps.

Answered by Christopher Pelletiere, MD (View Profile)

In complex breast revisions--symmastia falls in that category--it is always best to overcorrect the repair at first since the tissues will relax over time. If the repair looks perfect at first, it may not be enough when everything settles over three months. If you have an indentation somewhere, this most likely will go away on its own. Just be patient. I hope this helps.

Published on Jul 11, 2012


David C. Yao MD, FACS

Published on Mar 21, 2016

Thank you for sharing. This is an issue that needs to be examined in person. Symmastia frequently needs a dermal matrix-type procedure to reinforce the pocket to prevent recurrence. Sometimes this is overcorrected to help with the appearance and maintenance for a long-lasting appearance. These techniques are frequently used by plastic surgeons who have a lot of revision/reconstruction experience. See a board-certified plastic surgeon for options. Best wishes!

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Answered by David C. Yao MD, FACS

Thank you for sharing. This is an issue that needs to be examined in person. Symmastia frequently needs a dermal matrix-type procedure to reinforce the pocket to prevent recurrence. Sometimes this is overcorrected to help with the appearance and maintenance for a long-lasting appearance. These techniques are frequently used by plastic surgeons who have a lot of revision/reconstruction experience. See a board-certified plastic surgeon for options. Best wishes!

Published on Jul 11, 2012


Symmastia occurs because the pocket is open too close to the center and it allows the implants to move too close together. Sutures are typically used to close it off. The skin is thin in that area and in order to get a "good bite", there is often puckering or denting. Whether the surgeon used absorbable or permanent sutures, the tissue around the suture relaxes and stretches. Those small dents almost always go away.

Answered by Steven Teitelbaum, M.D.. F.A.C.S (View Profile)

Symmastia occurs because the pocket is open too close to the center and it allows the implants to move too close together. Sutures are typically used to close it off. The skin is thin in that area and in order to get a "good bite", there is often puckering or denting. Whether the surgeon used absorbable or permanent sutures, the tissue around the suture relaxes and stretches. Those small dents almost always go away.

Published on Jul 11, 2012


Gerald Minniti, M.D., F.A.C.S

Published on Jul 15, 2015

When it comes to symmastia repair, over correction is rarely an issue. I wouldn't worry.

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Answered by Gerald Minniti, M.D., F.A.C.S

When it comes to symmastia repair, over correction is rarely an issue. I wouldn't worry.

Published on Jul 11, 2012


Remus Repta M.D.

Published on Jul 14, 2015

Overcorrection of anything including a breast implant pocket is designed to factor in a stretching of that repair so that when healing is complete the ideal amount of correction remains. With that said, it is possible that some of the overcorrection will remain in certain situations. The good news is that it is far easier to repair an overcorrected pocket than it is to re-repair a pocket that has again loosened too much.

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Answered by Remus Repta M.D.

Overcorrection of anything including a breast implant pocket is designed to factor in a stretching of that repair so that when healing is complete the ideal amount of correction remains. With that said, it is possible that some of the overcorrection will remain in certain situations. The good news is that it is far easier to repair an overcorrected pocket than it is to re-repair a pocket that has again loosened too much.

Published on Jul 11, 2012


More About Doctor Tom Pousti, M.D.

Published on Jul 14, 2015

Thank you for your question.
Without an examination, it is difficult to give you good, accurate advice. I have seen "dents" go away after full recovery. I would suggest communicating with your surgeon and if you are early in the recovery process, allow for everything to heal before worrying about "overcorrection".
Best wishes for a result you will be pleased with.

Answered by Tom Pousti, M.D. (View Profile)

Thank you for your question.
Without an examination, it is difficult to give you good, accurate advice. I have seen "dents" go away after full recovery. I would suggest communicating with your surgeon and if you are early in the recovery process, allow for everything to heal before worrying about "overcorrection".
Best wishes for a result you will be pleased with.

Published on Jul 11, 2012


Andrew Trussler MD, FACS

Published on Jul 14, 2015

Symmastia is a very difficult problem to fix. Over correction is likely related to internal pocket sutures. Plane changes and ADM may also help to correct that problem.

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Answered by Andrew Trussler MD, FACS

Symmastia is a very difficult problem to fix. Over correction is likely related to internal pocket sutures. Plane changes and ADM may also help to correct that problem.

Published on Jul 11, 2012


John J. O'Brien, Jr. M.D.

Published on Jul 14, 2015

Hello, and thank you for your question. There are many techniques to try to correct a pocket and I am unclear as to which was performed on you. I would allow things to fully mature and you can discuss potential options with your surgeon if things do not correct on their own. There are several options to try to repair this such as fat grafting or scar release. Once again I feel it is best that you can discuss this with your treating physician. Best of luck with your recovery.

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Answered by John J. O'Brien, Jr. M.D.

Hello, and thank you for your question. There are many techniques to try to correct a pocket and I am unclear as to which was performed on you. I would allow things to fully mature and you can discuss potential options with your surgeon if things do not correct on their own. There are several options to try to repair this such as fat grafting or scar release. Once again I feel it is best that you can discuss this with your treating physician. Best of luck with your recovery.

Published on Jul 11, 2012


Tracey H. Stokes M.D., F.A.C.S.

Published on Jul 14, 2015

Overcorrection means repairing the breast pocket more than it needs to allow for settling over time. If the breast symmastia is repaired without over correction it is more likely to settle back to where you started. If you are left with a dent in the breast, fat transfer to the dent can help.

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Answered by Tracey H. Stokes M.D., F.A.C.S.

Overcorrection means repairing the breast pocket more than it needs to allow for settling over time. If the breast symmastia is repaired without over correction it is more likely to settle back to where you started. If you are left with a dent in the breast, fat transfer to the dent can help.

Published on Jul 11, 2012


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