I Naturally Have Close Cleavage, Will I Get Symmastia if I Get a Boob Job? (photo)

im thinking about going 450cc HP, if i push on the skin in between my boobs, it kinda springs back at me, im just worried that if i get a boob job i will get symmastia! is this preventable at all?

Doctor Answers 18

Close cleavage

You have cleavage that is close. I would recommend sub-muscular placement of the implants to minimize the potential for symmastia. You should be aware that with the postoperative swelling it may initially appear that you do have symmastia.

Chicago Plastic Surgeon
4.6 out of 5 stars 14 reviews

Breast enlargement and Close Cleavage aka Symmastia

Yes. This is how to prevent Symmastia.

  • Measure your chest width
  • Select an implant width less than your chest width
  • At surgery, not go beyond the sternum (breast bone)
  • Use gel implants (softer than saline.)

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Symmastia, Synmastia

Symmastia is a condition in which the breast implants touch, that is, the pockets where the implants were placed have connected. The breasts, which in your case are fairly close and create a natural cleavage, will be stretched over whatever implants are placed underneath them. As long as appropriate size and shape implants are chosen, and the surgeon is well-versed in breast augmentation, you should have no problems. Good luck and fare well.

Daniel Kaufman, MD, FACS
New York Plastic Surgeon
4.7 out of 5 stars 24 reviews


Symmastia is a condition which can occur when the implants are too close together. Patients often refer to this as a “uniboob.” This can occur for the same reasons as displacement noted above, but in this case the pocket(s) is/are too far towards the center.
Correction of this problem may involve using different implants such as textured, a smaller size, or a smaller base and placing the implants in a new pocket. On occasion, this may require surgery in more than one stage to allow the tissues to heal and then place the implants. If the implants have been placed above the muscle, converting them under the muscle frequently will help and, again, the use of a dermal substitute may be required for additional support if the tissues are thin. The techniques of capsulorrhaphy and neopectoral pockets may apply here as well.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 154 reviews

Symmastia is not a risk just because you have a tight cleavage

Symmastia is not a risk just because you have a tight cleavage.  Symmastia can happen if either the surgical dissection was carried to far medially or in some cases if women have very weak tissues and massage their implants medially vigorously.  

Martin Jugenburg, MD
Toronto Plastic Surgeon
4.9 out of 5 stars 457 reviews

Not if it is performed correctly

Breast augmentation should not give you symmastia as long as the procedure is performed correctly and the right implants are selected. For this reason, you should find an experienced board certified plastic surgeon to discuss your concerns. Best of luck!

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews



Thank you for your question.

In regards to symmastia, it is not a very common complication. For ease of mind, I would recommend discussing this in further detail with your board certified plastic surgeon in order to determine which implant and placement would minimize the potential risk the most.

Good luck!

Dr. Sam Speron

Sam Speron, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 1 review

Breast Augmentation and Symmastia

Symmastia, breast implant displacement - malpostion risks can be minimized with preoperative planning, intraoperative technique and post procedure management.  

Craig Mezrow, MS, MD, FACS
Philadelphia Plastic Surgeon
5.0 out of 5 stars 17 reviews

Symmastia risk

The risk of developing symmastia is very  low.  Placing implants in a subglandular plane probably increases the risk a bit.  Good luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Second response to your question for symmastia in breast augmentation

As long as the pockets for the implants are prepared appropriately by the plastic surgeon, then you probably won't get symmastia.

To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.  I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 182 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.