Worried about Uniboob

Question

I’m 5’6, 109 pounds, super small frame, small waist, I will say I’m a 30B, the distance between each nipple is around 7.5 inch. I have some breast tissue not completely flat. Ive decided that 300cc moderate profile looked very good trying on, I don’t want too small and too big. I’m worried due to my chest being very petite I’m overthinking it will create a uniboob. I don’t want a breast Aug with no change or minimal, but worried about uniboob. Thoughts?

Moises Salama, MD · Answer

Thanks for your question. Without pictures it is difficult to provide you with a proper recommendation. I suggest scheduling a consult with a board certified plastic surgeon. That way your surgeon can discuss possible outcomes with you. Take care, Dr. Moises Salama, board certified plastic surgeon.

Donald Groves, MD · Answer

Hello and thank you for your question. Honestly, a formal in-person evaluation would be needed to determine the best treatment and discuss all your questions and concerns. There are several reasons for this: 
1) Bra sizes vary based on the clothing store (for example, Victoria's Secret tends to upsize everyone by a whole cup size)
2) Most women do not wear the proper exact fitting bra size for their bodies
3) The exact volume (in cc) needed to change cup size is different for different body types (e.g. 32A to 32D requires a different implant size than 38A to 38D)
4) Be careful NOT to fall into the trap most women do- they see a certain implant size (e.g. 285 cc) or perhaps their friend had a certain size, and they want or request this or another size based on that. Everyone's body is different- 285 cc implants on your friend might look VERY different than they would on you. Be very careful not to make this mistake, because the goal is to find the right size and shape for YOU- for your particular body and your breasts.

Because of those multiple factors, and because it is KEY to fully evaluate your breasts in person to make a full set of precise measurements to select the proper implant for you (incorporating factors like amount of breast tissue, implant type, base width, projection, etc), answering your question really would need a formal personalized consultation- to say anything before that would simply be guessing, which would be both unfair and unhelpful to you.

Your breasts are such a KEY area of your body and your femininity- therefore, you should ONLY trust an experienced aesthetic plastic surgeon. As such an expert, I have had extensive training and experience with complex aesthetic surgeries under a multiple world-renowned experts in the field. I’d recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with aesthetic plastic surgery procedures) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Daniel Barrett, MD · Answer

Dear Fearless91667
symmastia is a rare breast condition that occurs when soft web-like breast tissue pulls breast implants towards each other, until the breasts meet uncomfortably at the center of the chest near the sternum (the body’s midline point). Given this abnormal union, symmastia is known by many other names, including breadloafing, kissing breast implants, and the uniboob.Unfortunately, this condition causes the surrounding skin and pectoral muscles to literally lift off the breast bone as the implants are pulled together. This consequently causes pain and discomfort, as well as obvious distortion of the breasts, which can only be disguised with clothing that does not show cleavage.You should consult with a board certified plastic surgeon for proper assessment. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Azita Madjidi, MD, MS, FACS · Answer

The choice of implant does not come from the number of cc that you like or the distance between nipples. It comes from the measure of your breast width or base which will determine the diameter of the implant. That number is fixed for each person. The shape is determined by the projection of the implant ( how much the implant comes forward not an increase in diameter which goes sideways). That will determine the profile (projection) of your implant: low, mid range or high. The catalogue will say how many cc that is.

Gary M. Horndeski, MD · Answer

The uniboob is also called symmastia is where the implants come too close together in the midline and merge into basically one. At size 30, each 100 cc of implant corresponds to 1 cup size change. 300 cc implants will take you to a DD and may be too excessive for your body. I recommend smaller implants, particularly if you are concerned about symmastia.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Rajaie Hazboun, MD, MBA · Answer

Thank you for posting your question here!It is hard to evaluate the situation without an exam , standardized measurements and pictures, but there is more to getting symmastia (uniboob) than just the implant size or profile , it does play a part but also the amount of dissection done is another factor that should be considered. if your surgeon avoids over dissecting the pocket then for the most part you should be fine.I hope this helps, best of luck!

Paul M. Steinwald, MD · Answer

Often times implants in this size range (which should achieve a 2-cup difference in someone with a relatively petite frame such as yours) should be able to be placed centered behind each nipple and without the creation of "symmastia", especially if placed under the muscle (but of course the surgeon needs to avoid over-dissection medially/towards the sternum). Attention to the base diameter of each implant relative to your anatomic measurements is also important (they shouldn't be too wide for your chest/ribcage). Hope this helps! (Attached is a photo of symmastia created elsewhere - with relatively small implants - that I corrected . . . not easy to do!)

Ram Kalus, MD, FACS · Answer

Absent an evaluation in person or, at the very least photos, it is difficult to comment. If your plastic surgeon is someone you trust, then you should express your concerns with him or her. The greatest danger of a “uni-boob” which we refer to as “synmastia” is too wide an implant. The widest implants are the “moderate” profile. 300 cc’s is a relatively conservative size which in your case seems very reasonable in light of your petite frame.

Discuss all of your concerns with your plastic surgeon. Best of luck k to you.

Discuss all of your concerns with your plastic surgeon. Best of luck k to you.

Ted Eisenberg, DO, FACOS, FAACS · Answer

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Camille Cash, MD · Answer

During a consultation your surgeon will measure the width of your breasts.  You will want to respect that width and select an implant that will fit that space.  I use sizers during surgery to help determine the best fit for my patients.  I've included a video I hope you find helpful.

Worried about Uniboob

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