Do I Have Congenital Symmastia?

Your pictures demonstrate the presence of a mild congenital symmastia. This condition occurs when the breast tissue merges across the midline. In some cases, this may give the appearance of a large single breast.Cases of mild congenital symmastia don't usually require surgical treatment. This condition is well tolerated and is almost considered a variant of normal.If you're concerned about this problem, it's reasonable to consult a board certified plastic surgeon. This surgeon should be able to discuss this condition and the available options for treatment. In some cases, breast augmentation or liposuction may have a role. In your particular case, it's probably reasonable to do nothing and accept what most people would consider to be a relatively attractive breast. 

It appears you do have a symmastia. I agree with some of the other surgeons that implants may make this worse. I also agree that you have a very nice shape and size to your breasts and would likely not recommend you alter them in any way. 

Looks like symmastia.  Breast augmentation will make it more pronounced.  Your breast are beautiful and symmetrical with good size.  If the symmastia is a great concern, the i would not have breast augmentation.

From your pictures, it does look like you have synmastia.  I agree that your best and easiest first-line option would be judicious liposuction in the area of your cleavage followed by prolonged compression to get the area to scar down nicely and create space between the breasts over your sternum.  After that, if you want a breast augmentation, you can probably safely attempt it, knowing that that area must not be disturbed during augmentation surgery.  If it is disturbed you could recreate the synmastia.

Good luck,

Dr. Shah

Your breasts are symmetric, and beautiful. Difficult to determine by photo alone if this is true symmastia (is there breast tissue behind your midline confluence, or just skin and fat?). In any case, breast augmentation, in my opinion, by enlarging the beast mounds, will likely render your midline tissue less prominent and relatively less visible. Would proceed very carefully and with circumspection before midline liposuction. By deflating midline subcutaneous fat, skin may sag, and the midline crease may become more prominent.