Symmastia? (photo)

I'm 4 weeks post-op. HP 300cc silicone unders. One pic is 3-4 days post-op, the other is ~3.5 wk post-op. Would this be considered symmastia? I can press down on the tissue in the center to touch the breast plate. I have a visit with my PS soon, but would like to hear other opinions. Thanks

Doctor Answers (18)

Symmastia?

+2

Scully13,  I can not make a full opinion on this without looking at your before photos.  Some patients have breasts that sit closer together verses others.  Implant placement depends on your measurements that your surgeon should have taken preoperative.  Make sure that your surgeon did not use an implant that is too wide or too big for your God given breast folds.  


Jackson Plastic Surgeon
4.5 out of 5 stars 7 reviews

Not Symmastia After Breast Augmentation

+1
Judging from your photos, it does not appear that you have symmastia since your breasts are still somewhat isolated from each other with cleavage (even though the space of your cleavage is small). However, you should discuss your concern with your surgeon, as they may be able to recommend something that could help increase the space between your breasts.

Symmastia is a very rare risk of breast augmentation that can occur due to improper implant placement probably caused by one or more of the following:
  • a failed attempt at enhancing cleavage
  • the cutting of tissues that let the implant drift out from its intended position, most often because the pocket is too large for the implant
  • excessively large implants, particularly in thin patients who have thin skin (as the skin can be pulled away from the chest bone)
  • the weakening and stretching of tissue that separates the breasts

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 51 reviews

You might also like...

You do not have a true symmastia

+1

Thank you for your question and photographs. Since the skin in the cleavage area is still attached to your sternum or breast bone, you do not have true symmastia. Symmastia is called uni boob because the implants have no separation between them. Be sure to discuss your concerns with your plastic surgeon.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
5.0 out of 5 stars 26 reviews

Synmastia

+1

Hi.  It would be helpful to see your pre op photos but I would bet that your cleavage was close then too.  If you pushed your breasts together pre op, then you would see that you had a close cleavage.  You are able to touch your breast bone now and therefore, there is not a connection between the breast pockets and besides this, a milder form of synmastia (where the surgeon tries to get a closer cleavage for a patient.....dangerous move !) is also not present.  This milder form of synmastia will change the cleavage position to have it off center and yours is centered nicely.  Some patients would give anything to have this cleavage !!     You are still early in the post op period and you may have more pushing of the cleavage from the implants being under the muscle, esp with the high profiles.  Give it time...you will be surprised at the changes.  Stay close to your ps and you will have the right answers.

Steven M. Lynch, MD
Albany Plastic Surgeon
4.5 out of 5 stars 9 reviews

No Symmastia

+1

Thanks for the photos.  If you can not push one implant clearly to the opposite side then you do not have symmastia.  Your result appear to be good.

Dr. ES

Earl Stephenson, Jr., MD, DDS
Atlanta Plastic Surgeon
5.0 out of 5 stars 8 reviews

Synmastia?

+1

Your breast implants are quite close together but this is not synmastia.  Synmastia is when the two implant capsules erode into each other.  There appears to be enough soft tissue present to prevent this from happening.  

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 8 reviews

SYMMASTIA?

+1

No you do not have Symmastia. As the other plastic surgeons mentioned, Symmastia is when the two breast pockets become "one" and create a sort of "Uni-boob" look. You just have a very nice cleavage!

James E. Murphy, MD, FACS
Reno Plastic Surgeon
5.0 out of 5 stars 10 reviews

Breast Augmentation & Symmastia

+1

What you have is... really great cleavage!  With symmastia, your implants would have a pocket which is connected, which means, you would be able to move the implants back and forth from side to side.  I bet your breasts were really close together to begin with - but with implants and enlarging the area, they became even closer. You look great!

K. Roxanne Grawe, MD
Columbus Plastic Surgeon
5.0 out of 5 stars 10 reviews

Symmastia?

+1

Hi, it doesn't look like symmastia which is where the integrity of the two SEPARATE breast pockets is breached in the midline forming a communication between left and right! Yours just look very close together.

Sultan Hassan, MD, FRCS(Plast)
London Plastic Surgeon
5.0 out of 5 stars 14 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.