Do I have symmastia? (Photo)

I do not believe this is symmastia based on the photos provided. Making that final determination is truly only possible by a physical exam.

Dear Fierce20156,
I understand your concern. Based on your photos, it looks like you don't have symmastia. However, without a proper assessment, it would be difficult to determine what is wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Thank you for your question. A large portion of my practice is dedicated to breast revision surgery, and I have been in practice almost 30 years. You do have mild symmastia which would be a fairly straightforward fix. The other thing I noticed is that your breast looks somewhat ovoid and has too much breast tissue in the lower pole. I believe you would benefit from symmastia repair as well as revising your mastopexy and removing inferior pole breast tissue. You should be able to have beautiful breasts even in a bra. Best wishes to you.

Although your implants don't cross the midline, they get close enough to lift the pre-sternal skin, blunting the intermammary gap. If you don't like it, you'll need a surgery to resize your implant pockets so that they don't drift so close to the midline and the armpit too. This can be done by two different methods: either by closure of the pocket capsule at the medial and lateral boundaries, or by creating a new pocket but keeping the implant subpectoral. If your implants are over the muscle, then you should have them replaced into the subpectoral position.

Your breasts are close together but you do not have synmastia., synmastia means that your breast pockets communicate with each other. You don’t have that

No, technically, you do not have symmastia. If what you have bothers you, then go down in size so they are not so close.

I don’t see the importance of defining if you have a condition or not.
The fact that someone says you do or don’t have symmastia isn’t going to change your outcome.
If you don’t like your outcome, then consider having revision surgery.
If you’re content with your outcome, then don’t have more surgery.
It doesn’t matter if someone says you have or don’t have the condition. Being given a diagnosis doesn’t change your outcome.
In my opinion, you do not have symmastia.
Your implants are definitely close to the midline.
Best,
Matt Hagstrom, MD