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.