Can releasing of internal muscle fibers between the breast cause uniboob?

Question

It was brought up as a solution for preventing a "hard stop" when breast are pushed together to create cleavage with implants.

Daniel Barrett, MD · Answer

Dear Genius233157,
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.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Ronald J. Edelson, MD · Answer

Synmastia is extremely rare even if the muscle fibers are released completely. I have never seen a case in 35 years

Shlomo Widder, MD · Answer

Dear Virginian,
   Breasts augmentation under the muscles  require partial medial dissection of the pectoral muscles in order to get nice cleavage. Obviously it has to be precise maneuver and avoid complete detachment of the muscles from the chest bone, which will cause the dreaded condition - Symastia.
   Always, consult with experienced board certified plastic surgeon who operate in accredited surgery center for your safety. Most importantly, check the before and after pictures of breasts augmentation in the photo gallery, to make sure that they are numerous, consistent and attractive with nice cleavage, nice projection, symmetrical and natural looking.
                  Best of luck,
                                Dr Widder               
                         widderplasticsurgery.com

Nelson Castillo, MD · Answer

Thank you for sharing your question.  Yes, if the muscle fibers running along the breast bone are fully released, it is a risk for the development of a uniboob.

Erika Sato, MD, FACS · Answer

Yes you can through surgery create one breast cavity where the two open up in the middle. This is called Symmastia. You would not want symmastia. This is a difficult problem to fix. For better cleavage with wide set breasts consider fat grafting with your breast augmentation.

Connie Hiers, MD, FACS · Answer

Anything can do anything in surgery. However, the usual cause for the "uniboob" is choosing implants that are too large and wide for the base of your breasts.

Douglas Taranow, DO, FACOS · Answer

Yes, medial dissection and release of the pectoral is muscle during a breast augmentation May lead to a “Uniboob” symmastia issue.  So can placement of very large implants (causing lifting of the sternal skin). 
Some patients are restricted from having very close cleavage due to their sternal or rib cage anatomy. 
Dr. Taranow

Can releasing of internal muscle fibers between the breast cause uniboob?

Answers (7)

More Breast Augmentation Questions

PS suggests subglandular implant, but research tells me dual plane is better? (photos)

Abortion before Breast Augmentation - Will I be okay to have surgery?

Deflated 36D- am I a good candidate for augmentation without lift? Would sub-glandular or dual plane be better for me? (Photos)

Strong family history of breast cancer, do you think it's safe for me to have a breast augmentation?

Are there any unwanted side effects from an internal mesh? Does it really work?

I want to achieve a natural appearance, should I even be considering 320cc Mentor Classic? (Photos)

WE SEND PRETTY
EMAILS