I Naturally Have Close Cleavage, Will I Get Symmastia if I Get a Boob Job? (photo)

im thinking about going 450cc HP, if i push on the skin in between my boobs, it kinda springs back at me, im just worried that if i get a boob job i will get symmastia! is this preventable at all?

Doctor Answers 17

Close cleavage

You have cleavage that is close. I would recommend sub-muscular placement of the implants to minimize the potential for symmastia. You should be aware that with the postoperative swelling it may initially appear that you do have symmastia.

Chicago Plastic Surgeon
4.5 out of 5 stars 12 reviews

680 N Lakeshore Drive
Chicago, IL 60611

Breast enlargement and Close Cleavage aka Symmastia

Yes. This is how to prevent Symmastia.

  • Measure your chest width
  • Select an implant width less than your chest width
  • At surgery, not go beyond the sternum (breast bone)
  • Use gel implants (softer than saline.)

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.5 out of 5 stars 36 reviews

2045 Peachtree Rd NE
Atlanta, GA 30309

Symmastia, Synmastia

Symmastia is a condition in which the breast implants touch, that is, the pockets where the implants were placed have connected. The breasts, which in your case are fairly close and create a natural cleavage, will be stretched over whatever implants are placed underneath them. As long as appropriate size and shape implants are chosen, and the surgeon is well-versed in breast augmentation, you should have no problems. Good luck and fare well.

Daniel Kaufman, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 13 reviews

2120 Ocean Avenue
Brooklyn, NY 11229

Symmastia is not a risk just because you have a tight cleavage

Symmastia is not a risk just because you have a tight cleavage.  Symmastia can happen if either the surgical dissection was carried to far medially or in some cases if women have very weak tissues and massage their implants medially vigorously.  

Martin Jugenburg, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 298 reviews

100 Front St West
Toronto , ON M5J 1E3

Not if it is performed correctly

Breast augmentation should not give you symmastia as long as the procedure is performed correctly and the right implants are selected. For this reason, you should find an experienced board certified plastic surgeon to discuss your concerns. Best of luck!

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 108 reviews

362 Fairlawn Avenue
Toronto, Ontario M5M 1T6



Thank you for your question.

In regards to symmastia, it is not a very common complication. For ease of mind, I would recommend discussing this in further detail with your board certified plastic surgeon in order to determine which implant and placement would minimize the potential risk the most.

Good luck!

Dr. Sam Speron

Sam Speron, MD
Chicago Plastic Surgeon

950 N Northwest Highway
Park Ridge, IL 60068

Breast Augmentation and Symmastia

Symmastia, breast implant displacement - malpostion risks can be minimized with preoperative planning, intraoperative technique and post procedure management.  

Craig Mezrow, MS, MD
Philadelphia Plastic Surgeon
5.0 out of 5 stars 9 reviews

225 E. City Avenue
Bala Cynwyd, PA 19004

Symmastia risk

The risk of developing symmastia is very  low.  Placing implants in a subglandular plane probably increases the risk a bit.  Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

1049 Fifth Ave
New York, NY 10028

Second response to your question for symmastia in breast augmentation

As long as the pockets for the implants are prepared appropriately by the plastic surgeon, then you probably won't get symmastia.

To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 71 reviews

2103 Crestmoor Road
Nashville, TN 37215


Symmastia comes from trying to get the implants too close together. It has nothing to do with your current anatomy.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 17 reviews

10201 SE Main
Portland, OR 97216

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.