Do I have Symmastia? (Photos)

Good morning,
I repaired two synmastia patients yesterday and this is a repair I commonly perform. I use the Original Internal Bra, my strong permanent internal suturing technique, which firmly and permanently reattaches your soft tissue to your breastbone. I first developed this technique over 20 years ago, and today it is the most common revision I perform, 5-6 times a week- it works and it lasts! Whether you explant or choose to continue with implants does not matter- the synmastia needs to be repaired either way because simply removing your implants will not reattach the tissues and they will always "float" if not repaired properly.

You do have symposia, usually caused by overdissection of done type. I works probably remove both implants, let the tissues recover and not repair at the same time, because enough attachments may recover.

Hello,
Thank you for your enquiry. Your photos are very helpful. There is indeed synmastia. You mentioned that you always had it. If that was before your implant surgery, then it will stay after removal as well. If you noticed it following your surgery, it can improve after implant removal. This can be helped with stitches inside the breast cavity to secure the cleavage to the chestbone.

Yes, you have symmastia and also have large low breasts that point outward. The technique I recommend is explantation and lift using The Bellesoma Method. The implants are removed, your breast tissue is reshaped creating upper pole fullness, elevated 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, if not injured during your previous surgery. Later, fat transfers or small implants can be placed totally submuscular.

Best Wishes,

Gary Horndeski, M.D.

Thank you for sharing your question and photographs. Unfortunately yes you do have synmastia and correction will require a surgery to separate the two implant pockets along your breast bone while also downsizing your implants considerably.

Yes, the photos you've submitted are consistent with symmastia. This can be corrected by repairing the medial attachments of the breast/muscle to the sternum or breast bone. It would probably be better to choose a slightly smaller implant as well.

Dear Good504423,
symmastia is a rare breast condition that occurs when soft web-like breast tissue pulls breast implants towards each other, until the breasts meet uncomfortably at the center of the chest near the sternum (the body’s midline point). Given this abnormal union, symmastia is known by many other names, including breadloafing, kissing breast implants, and the uniboob.Unfortunately, this condition causes the surrounding skin and pectoral muscles to literally lift off the breast bone as the implants are pulled together. This consequently causes pain and discomfort, as well as obvious distortion of the breasts, which can only be disguised with clothing that does not show cleavage.You should consult with a board certified plastic surgeon for proper assessment. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Your very large implants are too large for your frame and have stretched tissue so you have some symmastia. You would do much better going down in size and repairing that area if needed.

Hi! Based on your photos it looks like you have symmastia. It can be corrected with a surgery to separate two implant pockets along your breast bone while also downsizing your implants. Consult an experienced plastic surgeon only. Hope this helps.

From your photos and description it appears you do have symmastia. This requires surgical intervention to repair. Decreasing implant size may also be advisable.