Breast lipo for possible symmastia? Or would it result in symmastia? (Photos)

Dear Intelligent383353,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

You should be fine undergoing only a breast augmentation. Your anatomy will be unchanged with the same appearing breasts with implants in place. The folds will still be there following this surgery. Liposuction could be performed to reduce some of the fat in the sternal area if you so desired.

Thank you for your query. There is a significant amount of skin stretching that happens with breast implants, that may correct your issue, especially when done after understanding your concerns. However, if you still feel that there is excess tissue and fat, a very careful micro liposuction may help as would Invasive RF treatment. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

In general, a breast augmentation will not worsen this problem. Most augmentations are performed below the muscle and this will keep the implant from migrating too far towards the center of the chest wall. Unfortunately it appears that you have a significant amount of skin in that area which can only be excised as a general rule. However, scars reaching across the midline have a tendency to keloid therefore it may require excision in multiple attempts. An in person physical exam with a board certified plastic surgeon should be able to tell exactly how to proceed.

It may not be a bad idea to consider doing limitted liposuction in sternal area to sligtly widen and thin down starnal skin attachements and prevent symmastia after augmentation. This can be done in local anesthesia, a soft mold could be used to further shape the area of adherence. In that case, I would suggest delaying augmentation for 6 months or so. Hope this helps.

Thank you for your question and photos. A specific treatment recommendation can only be provided following an evaluation in person by a board certified plastic surgeon. That said, liposuction is likely to improve or correct the fullness you appear to have between your inframammary folds, and is unlikely to worsen or exaggerate any element of synmastia. Breast augmentation needs to be precise with properly selected implants. The larger and wider the implant the greater the risk of synmastia, and in my practice this is also one of the few indications for which I would consider textured rather than smooth implants.

Do your research and select a board certified plastic surgeon whose aesthetics seem to align with your own, based on his or her Before and After gallery. Best of luck to you.

You did not show a full view of your breasts, but probably will do fine with an augmentation. do not choose implants that are too large and wide for your frame, or the symmastia will be more noticeable.

A board-certified plastic surgeon is qualified to address your issues. Board-certified plastic surgeons have spent years of training and have the top level of experience and skill. Seek out a board-certified plastic surgeon for your cosmetic needs.

Symmastia occurs if the implant pockets are over-developed in the mid-line towards each other. It is a rare complication. I recommend you choose an appropriate size implant (not too large) and undergo breast augmentation. The phenomenon you are describing when sitting down is actually very common.

Thank you, Intelligent383353 for your question and photographs. Our evaluation is incomplete without personal examination to give the most appropriate answer. Despite that to answer your query, you can go ahead with breast augmentation. Liposuction wont be required. Please consult a board-certified plastic surgeon near you and discuss this in detail. Wish you an alluring look.