My breasts are naturally really close together and they feel webbed toward the bottom. I have NO cleavage! Do I have congenital symmastia? Is there a way to create more space between my breasts and is breast augmentation still possible?
Do I Have Congenital Symmastia?
Doctor Answers 24
Congenital Symmastia (Joined Breasts, "Uni Boob")
You do have symmastia. I would recommend against worsening it with a Breast Augmentation. Your options are either to leave it alone or to perform liposuction of the area with long term compression (thong bra etc) to get more definition over the sternum (chest bone)
Treatment of Congenital Symmastia
When breast creases on two sides connect with each other they cause a webbing accross center of chest. Connection on two sides can be disrrupted by doing tissue rearrangements in the area of webbing. However often this causes bad scars and is not worth doing.
It is possible to get breast augmentation in your situation. However the symmastia would persist unless webbing is disrrupted.
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Congenital Symmastia Repair
Thank you for the question and the photo. There is a good solution for congenital symmastia. I use a small incision in the breast fold to repair and separate the breasts to provide a normal amount of cleavage. Other plastic surgeons advocate implants and /or liposuction but I have found that suturing the tissue works the best in my hands. Recovery and results are usually excellent. The link below shows before and after photos of a patient that underwent congenital symmastia repair by this method.
All the best,
Dr. Remus Repta
Not really a "uniboob"
Symmastia is when the two breast are basically "fused" together and form one breast, a "uniboob". So, you really don't have symmastia, but your breasts are very close together and there is very little "gap" between your breasts. Cleavage is really medial (inside) breast tissue that shows in clothing. You can create cleavage with push up bras, bathing suits, breast implants, or in your case, you actually have wonderful natural cleavage. Most women would die to have your shape and size, I would anticipate you are wearing a "C" cup bra. You can't really uncreate this, and if you have breast implants placed you would have a larger version of your current shape, if you are unhappy with your current shape, I would NOT have implants placed.
Yes, maybe, and i wouldn't recommend it.
yes you have synmastia. your beast soft tissue is meeting in the middle and there is no portion of the bony sternum that is not covered by breast soft tissue.
Although there is no good solution to this, you could attempt liposuction of the midline area followed by prolonged (6-8 weeks) of external compression to get the skin to adhere. Breast augmentation with implants would likely accentuate the synmastia, so I would tend to avoid making the synmastia worse. Breast Augmentation with Fat may be more able to void the midline by virtue of the "preferential fill" afforded by fat transplantation.
Dr Del Vecchio
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.
I would have to say, though, that your breasts appear to have a nice shape regardless and you may find that the risks of breast surgery may not outweigh the benefits.
Thank you for the question.
Unfortunately, without direct examination it is difficult to give you precise advice but it looks like you may have congenital symmastia. I have found that treatment of congenital symmastia can be challenging. Sometimes patients with “congenital” symmastia benefit from liposuction surgery of the area between the breasts ( over the sternum); whether or not you are a candidate for this procedure will depend on your physical examination.
You may find in person consultation with well experienced board-certified plastic surgeons to be helpful to you.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.