Do you think from the photos, that I have congenital symmastia? (Photo)

No, you do not have "congenital" symmastia, but do have some sagging of your breasts. As we age, especially after having children, the skin on our chests stretches as the breasts stretch.

It’s difficult to say based on the photo and info you’ve provided, although it doesn’t appear you have symmastia at first glance. An inperson assessment is recommended.

Your breasts have quite a large skin envelope and are quite floppy. I do not see evidence of symmastia as I do not see any breast tissue connecting across between them overlying the sternum. The technique I recommend is a lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained. Later, fat transfers can be performed if additional volume is desired.

Best Wishes,

Gary Horndeski, M.D.