Do I have symmastia? (Photo)

Hello- I am 6 weeks post op - 300cc nagor moderate profile silicone placed in dual plane. When I lean forwards I have this uni crease under my breasts. It doesn't look good- could this still be sternal swelling or is it symmastia? Thank you

Doctor Answers 7

Do I have Synmastia?


Thank you for your question. Based on these photos it appears that you may have some sternal swelling, not likely synmastia, however an in-person exam with your Plastic Surgeon will be the best way to rule out issues. All the best


Based solely on your photo, it doesn't look as if you have symmastia. Hope this alleviates your worry. 
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Dr. Sheila Nazarian
@drsheilanazarian on Instagram

Sheila S. Nazarian, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 51 reviews


Hello, the photo is dark so it is difficult to appreciate your concerns.  Based on what I can see there does appear to be a gap between the breasts, which is not usually present in cases of synmastia.

Do I have symmastia?

  Congratulations on having undergone the breast augmentation procedure. Based on your photographs, I do not think that you have symmastia present. It is more likely that you are experiencing some skin tenting and/or swelling. Your plastic surgeon, of course will be your best resource when it comes to an accurate assessment and/or meaningful reassurance. You may find the attached link, dedicated to symmastia surgery correction surgery, helpful to you for comparison purposes. Best wishes.

Photos too dark to tell

Thank you for your question. Unfortunately, your photos are too dark to really see anything; so, I can't tell if you have symmastia or not. It is not likely that you have significant swelling 6 weeks after surgery to cause a visible problem.  If you could repost the photos with better lighting, we can provide better answers. 

James McMahan, MD
Columbus Plastic Surgeon
4.8 out of 5 stars 35 reviews

Is this synmastia?

From a single photograph, and without a preoperative photograph, it is difficult to tell if symnastia is present. if when you push the breasts towards the middle at the same time, and they seem to touch, that is more indicative of synmastia. Go back to your operating plastic surgeon for examination. Good luck. 

Marc J. Salzman, MD, FACS
Louisville Plastic Surgeon
4.7 out of 5 stars 44 reviews

Request an examination

At six weeks post-op, although a good amount of swelling should have subsided, there may still be swelling left, particularly in the lower parts of the breast depending on the type of bra or dressing you are wearing. You should ask to be examined by your plastic surgeon so he or she can evaluate the skin envelope and palpate the area to see if there is fluid keeping the lower area "tented" and creating that appearance of a crease. 

Johnson C. Lee, MD
Beverly Hills Physician
5.0 out of 5 stars 12 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.