How can I fix no gap and possible uniboob? (Photos)

Great question!  You have an issue called synmastia where both breasts are touching each other, which can be due to one of several issues.  Unfortunately the only way to correct this is a surgical treatment to separate the breasts and to bring the tissues back to the sternum.  It is best to have a consultation with a board certified plastic surgeon so that the procedure can be explained to you in detail.Best of luck and hope his information helps!

- Dr. Roger Tsai  @DrRogerTsai
Board Certified Plastic Surgeon

Good morning!Unfortunately it does appear to be synmastia, and I correct this with the Internal Bra, my strong permanent internal suturing technique which corrects the synmastia and provides excellent long term support for your implants. I do use Strattice mesh in some situations, but usually I reserve it for failed repairs from other surgeons, which we unfortunately see quite often. It's a difficult, highly specialized repair, so choose your revision surgeon wisely. Make sure they can show you many of their own successful repairs. If they can't, then they probably haven't done one.

Uniboob, also called symmastia, can result when the implants are too wide and/or the pocket is extended too close to the middle. You will probably want to consider replacing with narrower base diameter implants along with closing the pocket toward the middle. This can be done with sutures alone (capsulorrhaphy) but in some cases requires reinforcement with Strattice or Galaflex mesh.

Without knowing what you looked like before surgery, it is tough to know if this is truly symmastia or simply amplification of something that was there before.  Best to talk to the Plastic Surgeon who performed your surgery and consult with him/her about thoughts and possible treatment. I hope that helps and wish you the very best!Warmest regards,-Gregory A Buford MD FACSBoard Certified Plastic Surgeon and Author

Your synmastia requires a surgical correction. The best option surgically is to create a new pocket (neosubpectoral) and to support the new pocket medially with mesh to ensure longevity. By creating new pockets, your new implants will be separated and your cleavage should be excellent. This is an operation that should be performed by a board-certified plastic surgeon, particularly one with an expertise in aesthetic revision surgery. Good luck!

Thank you for your pictures and question! If you are not happy with your cleavage, the only way to address that would be with surgery. Sutures can be placed medially to help separate your breasts and give you a more defined cleavage. I recommend seeing a board certified plastic surgeon in person for a physical exam so that you can discuss your goals and plan the right surgery for you.

Dear Kawaii.,
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

From your photo it appears that you have symmastia.  This is caused by implants that are too large or stretching of the tissue in the center of the chest. It usually requires surgery to correct. I use a mesh to support the tissue and usually a smaller implant.

Thank you for your question and photos.  Yes your breasts can be fixed but this is definitely a surgical correction.  in meanwhile you can buy a bra that helps with symmastia (google it and you will find some).  Best of luck to you. 

Dear Kawaii,
Hello and thank you for your excellent question. To really give you a good idea, you need to be evaluated in person. Your photos appear to show a complex implant malposition problem, but I cannot determine this from photos alone. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate you. Good luck!

Best,

Jon Ver Halen, MD FACS