Do I have a mild congenital symmastia? (Photos)

Question

I'm interested in having a breast augmentation and would prefer over the muscle placement subfascial but was told I can't have it if I have congenital symmastia. My sister has it and I was wandering if I have it too. Please let me know, any advice would be greatly appreciated. Thank you in advance

Ira H. Rex III, MD · Answer

From your photographs, I do not see any indication of symmastia.  It looks like you are and in excellent position to get a great result!

Daniel Barrett, MD · Answer

Dear 838383karina,

based on your photos, it looks like you don't have congenital symmastia. 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, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Donovan Rosas, MD · Answer

Based upon your photos, there is no evidence of a symmastia.

Symmastia is typically defined by an absence of cleavage and a medial confluence of breast tissue,

I would not let these concerns keep you from exploring surgery.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Wayne I. Yamahata, MD · Answer

Your photos do not suggest the presence of symmastia. I would expect the placement to be safe in either location, but I would favor going under the muscle.

Robert M. Tornambe, MD · Answer

Hello Karina, Symmastia usually occurs as a complication from breast augmentation when the pocket for the implants is over-dissected medially, eliminating the gap between the lower portion of both breasts. Your photos do not demonstrate Symmastia, and it appears that you are an excellent candidate for breast augmentation. Come see me or another board certified plastic surgeon in our area to explore the best options for you. Best of luck.

Gulcin Nujen Cardak, MD, FEBOPRAS · Answer

May I ask you to if a doctor said that you have mild synmastia? According to your pictures there is no noticeable synmastia. In my opinion you can get both over muscle or beneath muscle implants safely. I hope it’s helpful for you.

Alper Eskalen, MD · Answer

Hi, I’m Dr.Eskalen from Istanbul/Turkey. There is no anatomical problem which can avoid your operation. Beside you are usual for subfacial plane. My suggestion for you is making a 3D simulation to understand your expectations.This 3D simulation can also be online via a specific App, which we use for all of our patients. I hope my message helps you. 
Best regards,Dr.Eskalen.

Camille Cash, MD · Answer

From the submitted photos it doesn't appear you have symmastia.  You should have a nice result from breast augmentation.  I've included a video on the procedure I hope you find helpful.

Connie Hiers, MD, FACS · Answer

No, you do not have congenital symmastia, but I would suggest placing the implants behind the muscle for better coverage and nice upper breast fullness.

Do I have a mild congenital symmastia? (Photos)

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