Is there a way to fix symmastia that occurred after open pectus excavatum surgery (no implants)? (Photo)

I had surgeries to correct my severe Pectus Excavatum and it seems that my breasts were stitched to close together. My scars seem to be pulling my breasts inward and downward and feel very tight and uncomfortable. I cannot wear anything revealing, bathing suits or any bras other than sports bras. What can I do? This has really hurt my self confidence and it is painful. I was also wondering if I would be a good candidate for fat grafting or augmentation to even out or disguise my asymmetry?

Doctor Answers 4

Is there a way to fix symmastia that occurred after open pectus excavatum surgery (no implants)?

You have gotten a good result from your pectus excavatum repair, however, I clearly see what bothers you. It is a little difficult to determine the best method to fix this without an exam, but implant placement and perhaps scar revision should be able to improve this problem significantly and give you better breast definition.


Tempe Plastic Surgeon
5.0 out of 5 stars 7 reviews

Symmastia Repair

Fat grafting is not a solution for symmastia. Symmastia can be a very difficult problem to correct because access to sew the sternal skin down is so difficult. You have the advantage of having sternal scars from your pectus repair to do a more effective symmastia repair.

Fat grafting only

If you want to be much bigger ,then implants will help. If you want to correct the depression and asymmetry, then fat grafting be an excellent option in hands of surgeons that good  at fat grafting. 

Kamran Khoobehi, MD
New Orleans Plastic Surgeon
4.7 out of 5 stars 112 reviews

Is there a way to fix symmastia that occurred after open pectus excavatum surgery (no implants)?

Synmastia is a problem that is caused by separation of the superficial tissues from the deeper sternal connective tissues. Synmastia is often referred to as "Uni-boob". There is absolutely no reason to perform fat grafting as this is not a problem of insufficient soft tissue deposits so that answer puzzles me? Correction of synmastia is a surgical problem and the correction can be effected through your already present sternal scar. I strongly suggest that you find an experienced and competent ABPS certified Plastic Surgeon to repair your synmastia. Good luck!

Steven M. Gitt, MD, FACS (in memoriam)
Phoenix Plastic Surgeon
4.8 out of 5 stars 36 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.