Has any other surgeon ever sutured onto the cartilage onto ribs to correct symmastia? (Photos)

It sounds like your surgeon has the right plan but I advise you to take it easy and wear the bra non stop for the next 6 weeks until the internal scar sets and hopefully you are out of the woods.  The other option would be to use an adm to recreate the medial aspect and cause a division and fix the symmastia.  

Good morning!I fix a LOT of synmastia cases- probably over 1000 total, and my Internal Bra repair is very similar. I use strong permanent sutures to reattach the tissues to the costal cartilage and sternum. It always looks funky to begin with, but this secure anchoring is necessary for a good reliable long term repair. The only real difference I can see from the photos you provided is that I am not a big fan of the separator type bras- I think a good repair doesn't need this and at worst the firm edges can chafe the skin and even cause abrasions. When I do use the separator type in cases where the patients have a lot of swelling or very thick subcutaneous tissues over the midline I prefer the ThongBra which is softer and less irritating.I have attached a link to my Synmastia Repair / Breast Augmentation Revision photo gallery for your review- you can see with this similar technique that it works and it lasts!

Hello, It sound like you have had a standard repair of symmastia.  The capsule on the ribs side is stuck to it, so the capsule that is sewn is on the rib or intercostal fascia between the ribs.  Your breasts and the skin may relax and round out after the bra is removed.  They may not seem so far apart then.

The key to fixing symmastia is to close of the pocket.  But the "back wall" often has very thin and weak tissue on top of the rib cartilage.  Sometimes the only way to get a good bite is to sew into the cartilage.  That is nothing for you to be concerned about. 

hello ajoe_90  This is a condition which can occur when the implants are too close
together. Patients often refer to this as a “uniboob.” This can occur
for the same reasons as displacement noted above, but in this case the
pocket(s) is/are too far towards the center.
Correction of this problem may involve using different implants such
as textured, a smaller size, or a smaller base and placing the implants
in a new pocket. On occasion, this may require surgery in more than one
stage to allow the tissues to heal and then place the implants. If the
implants have been placed above the muscle, converting them under the
muscle frequently will help and, again, the use of a dermal substitute
may be required for additional support if the tissues are thin. The
techniques of capsulorrhaphy and neopectoral pockets may apply here as
well.

Thank you for the question and there are many techniques for correcting symmastia and certainly placing permanent sutures into the chest wall is one.  If you have concerns ask your surgeon why he used that technique Dr Corbin