Symmastia. If I get a breast augmentation and wear a "thong bra", will it help to avoid this issue?

thank you for your question.A photograph would help with your assessment. Symmastia is nothing more than breast being able to touch the other breast without cleavage. Typically symmastia happens when Implants are placed above the muscle and one implant is touching the other implant because not enought tissue was left undamaged during the surgery to prevent them from touching or when the implants are placed below the muscle and the muscles is cut too far  and rips. this allows the implants to  communicate with the other side. It can be a hard problem to fix and sometimes requires special breast mesh to correct. If you were born with symmastia it can sometimes be corrected with simple liposuction. I don't believe that any types of bras will help prevent the issue As it needs to be surgically corrected. I hope this helps. I would recommend getting several consultations for board-certified plastic surgeons To make sure that you get a consistent opinion About what your options are. Good luck. All the best,Carlos Mata M.D.,MBA, FACSBoard-certified plastic surgeon

Symmastia (implants being able to touch each other in the midline without a separation between the breast) can occur after breast augmentation.  Some women can have detached sternal skin overlying the chest bone and can start with a "symmastia" appearance.I'm confused though a little by your question.  I don't know if you have already had surgery, or if you are just planning to have surgery.I hope you are able to find the help that you need.

 Thanks so much for your question. It's difficult to really have symmastia prior to having a breast augmentation. Symmastia is where there's a connected pocket between your two breasts. However, you may have pectus excavatum which is where your sternum is indented. That's a very different issue from having symmastia. Symmastia  can only really be created following a breast augmentation. So I'm sure you don't have that prior to having had surgery.   It's difficult to say anything more specific without examining you ir atleast seeing photos. Maybe have a more detailed conversation with your surgeon to make sure you fully understand the different aspects so everything makes sense. Good luck. 

Thanks for the question.
The thong bra can help support the area but more important is leaving enough tissue in the cleavage area down to prevent the implants from touching each other and thereby causing  the synmastia.  Your preoperative anatomy will determine how much cleavage is safely achievable.
good luck!

Symmastia in breast augmentation should be able to be avoided most of the time by the selection of implants that do not violate your anatomic structures and by surgical avoidance of destroying structures that can prevent this from happening. What that means is that if an implant is too large and/or too wide for your chest wall and/or the muscles and/or skin between the breasts are over-dissected or over released, then this is more likely to happen. Most of the time, if you have true symmastia, a thong bra is not going to treat the issue.You may want to discuss this more extensively with your plastic surgeon as well as obtain second opinions from reputable board certified plastic surgeons.Steven Turkeltaub, MD

 Yes,  patients undergoing breast augmentation surgery should understand that their starting anatomy will  play a significant role when it comes to the final outcome achieved with breast augmentation surgery.In your case, the use of a "thong bra" is an option but not critical when it comes to avoiding postoperative problems. Much more important: careful breast implant pocket dissection and selection of appropriate breast implant ( size/profile). My best advice: select your plastic surgeon carefully. Make sure that he/she has significant experience achieving the types of outcomes you will be pleased with. Then, communicate your goals carefully, as  well. Working together you will come up with a good plan to achieve your goals. Best wishes. 

If there is symmastia and there are implant already, Then the symmastia should be repaired while exchanging implants.If there is very close cleavage without implants, then choice of proper size implants and careful dissection of the pocket for the implant specially medially should be done. Then there will be close cleavage as prior to surgery or slightly closer.