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 (15)

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 10 reviews

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
New York Plastic Surgeon
5.0 out of 5 stars 4 reviews

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 21 reviews

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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

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 2 reviews

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
Manhattan Plastic Surgeon
4.5 out of 5 stars 17 reviews

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 37 reviews



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 13 reviews

Symmastia prevention


Certainly symmastia is preventabe.  Care taken when making the pocket for the implant should preclude this complication.

Michael Leff, MD
Bellevue Plastic Surgeon
5.0 out of 5 stars 6 reviews

Cleavage is not a precursor to Symmamia/symastia


Just because you have nice cleavage does not mean you will have symmamia.  Symmamia occurs because teh pocket is dissected too close together.  So go ahead with your surgery and hopefully you will enjoy your results for many years to come.  Good luck, Dr. Schuster in Boca Raton

Steven Schuster, MD
Boca Raton Plastic Surgeon
4.5 out of 5 stars 3 reviews

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.