Is symmastia possible if you are able to flex your muscle all the way down? (Photos)

Can you have symmastia if you are able to flex your muscle down? I had a BA 1 month ago and it looks at lot like symmastia at this point but I can flex all the way down. I posted pics of me pre-BA and directly post, 1 months post op at different angles and one where I can flex. Thoughts?

Doctor Answers 5



Thank you for your question and photos. You do not appear to have synmastia but very tight/close cleavage which your pre op photo demonstrates you had prior to surgery as well.

All the best

Toronto Plastic Surgeon
5.0 out of 5 stars 179 reviews


Hi and thanks for your question and posted photos. As we only have one preop photo, if we compare it with the same position post op one the shape looks the same but with more volume. Symmastia means both pockets are communicated and you don´t seem to have that problem.
Best wishes.

Hector Milla, MD
Mexico Plastic Surgeon
4.5 out of 5 stars 34 reviews

Is symmastia possible if you are able to flex your muscle all the way down?

Based on the last photo when you're contracting your pectoralis muscles you do not have symmastia.  Your breasts were very close together preop and your postop result looks exactly like your preop as far as your cleavage goes.  However if you're in doubt see her plastic surgeon.

Is synmastia possible?

Thank you for taking the time to ask this question!
Judging from the photos provided it is a possibility that synmastia is forming - you are in the right timeframe. My best advice is to set up a consultation with your plastic surgeon or a board certified plastic surgeon that feels comfortable with his technique and these types of procedures. With an in-person examination a PS will be able to confirm if revision surgery is necessary or not. I linked an article providing great information on how synmastia works.

Jaime Perez MD
Plastic Surgery Center of Tampa

Jaime Perez, MD
Tampa Plastic Surgeon
4.8 out of 5 stars 75 reviews

Physical exam always best but it does not appear so

Symmastia or a "unibreast" is a postoperative complication of augmentation surgery in which the space surrounding the implants communicates across the midline (sternum).  From your photos, it would appear that your breasts were naturally spaced close together and that the spaces between the implants is separate but your best resource will be for your surgeon to do a follow up exam but I expect you will be fine. 

Tom Tracey Gallaher, MD
Knoxville Plastic Surgeon
5.0 out of 5 stars 13 reviews

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.