Breast Augmentation: Q&A

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Do I Have Congenital Symmastia?

My breasts are naturally really close together and they feel webbed toward the bottom. I have NO cleavage! Do I have congenital symmastia? Is there a way to create more space between my breasts and is breast augmentation still possible?

21 Doctor Answers | Asked by satxgal
+3

Congenital Symmastia (Joined Breasts, "Uni Boob")

You do have symmastia. I would recommend against worsening it with a Breast Augmentation. Your options are either to leave it alone or to perform liposuction of the area with long term compression (thong bra etc) to get more definition over the sternum (chest bone)
+2

Congenital symmastia

Your breasts are symmetric, and beautiful. Difficult to determine by photo alone if this is true symmastia (is there breast tissue behind your midline confluence, or just skin and fat?). In any case, breast augmentation, in my opinion, by enlarging the beast mounds, will likely render your midline tissue less prominent and relatively less visible. Would proceed very carefully and with circumspection before midline liposuction. By deflating midline subcutaneous fat, skin may sag, and the... more
+2

Treatment of Congenital Symmastia

When breast creases on two sides connect with each other they cause a webbing accross center of chest. Connection on two sides can be disrrupted by doing tissue rearrangements in the area of webbing. However often this causes bad scars and is not worth doing. It is possible to get breast augmentation in your situation. However the symmastia would persist unless webbing is disrrupted.

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+2

Not really a "uniboob"

Symmastia is when the two breast are basically "fused" together and form one breast, a "uniboob". So, you really don't have symmastia, but your breasts are very close together and there is very little "gap" between your breasts. Cleavage is really medial (inside) breast tissue that shows in clothing. You can create cleavage with push up bras, bathing suits, breast implants, or in your case, you actually have wonderful natural cleavage.... more
+2

Yes, maybe, and i wouldn't recommend it.

Yes you have synmastia. your beast soft tissue is meeting in the middle and there is no portion of the bony sternum that is not covered by breast soft tissue. Although there is no good solution to this, you could attempt liposuction of the midline area followed by prolonged (6-8 weeks) of external compression to get the skin to adhere. Breast augmentation with implants would likely accentuate the synmastia, so I would tend to avoid making the synmastia worse.... more
+1

Congenital Symmastia

Thank you for the question. Unfortunately, without direct examination it is difficult to give you precise advice but it looks like you may have congenital symmastia. I have found that treatment of congenital symmastia can be challenging. Sometimes patients with “congenital” symmastia benefit from liposuction surgery of the area between the breasts ( over the sternum); whether or not you are a candidate for this procedure will depend on your physical examination... more
+1

Do I have a congenital symmastia?

It appears you do have a symmastia. I agree with some of the other surgeons that implants may make this worse. I also agree that you have a very nice shape and size to your breasts and would likely not recommend you alter them in any way.
+1

Can Synmastia Exist Prior To Getting Breast Implants?

Are you confused yet? It's amazing how many different opinions there are on this subject! Technically, Synmastia is a term that is used to describe the loss of attachments of the skin to the breast bone. I don't see this in your pictures. This is usually due to implants being placed on top of the muscle and winding up too close together, often to a point where they can be pushed across the midline of your chest. I doubt your breasts can be pushed... more
+1

Do nothing

The best recommendation is to do nothing, because anything you do has risks and you will never get what you want. Breast augmentation is in my opinion not the right thing to do.
+1

Symmastia?

Some women have exactly what you have this slight look of connected breasts. To try to change this can be difficult. Breast augmentation can be performed.
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Comments (3)

Dont mess with them, they are perfect!
  • Reply
omg. finally someone else like me. i can never got to the beach or wear low tops or dresses. sexy is never for me but my breasts are much worse, they are a lot bigger so the line inbetween is longer
  • Reply
My breast are like this. I've nvr been able to show off my breast. :(
  • Reply

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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