Symmastia Repair Reconstructive Surgery

This 23-year-old patient from San Diego, CA. had her first breast procedure in 2005. She noticed mal-position of her breast implants and was interested in symmastia repair in 2007. Symmastia - commonly referred to as "breadloafing" 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 chestwall 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 submuscular implant placement allows the muscle to provide some softening of the transition to the cleavage area from the augmented breast mound. The patient is 6 months post op surgery.