Do I have symmastia or is this normal? 16 months post-op (Photo)

Question

16 months post op . Round smooth high profile Mentor implants under the muscle. I am happy with the results but recently I came across this condition and it made me think about the fact that my breast do not have the gape between them as you see in other implants results. When I lift them the gap becomes smaller . The gap should remain the same in normal breasts or it is normal for them to get closer in bras an when you lift them? Thank you in advance.

George Bitar, MD · Answer

Symmastia is when there is no gap between the breasts.  There would be no cleavage, and the breasts appear to merge together.  Based on your photos, you do not have symmastia.  Even with pushing the breasts together, there is a clear demarcation between them.  It is normal for the breasts to come closer together when you lift them or in a bra.  That is why push-up bras were created to give the appearance of more cleavage.

Fernando Ovalle Jr., MD · Answer

Hello, congratulations on a very nice breast augmentation result. In my opinion, I would not consider what you are demonstrating as symmastia but rather as a normal variation. Every patient has unique anatomy when it comes to their breasts and their chest wall and no two patient's "gap" between the breasts will be exactly the same. Your "gap" may be narrower than other women's but it is within what would be expected.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. Symmastia is when there is no defined midline separating either side of your side of your chest. It doesn't appear that you have have from the photos. Speak with your plastic surgeon about it.Usually cleavage is a natural component that is not changed by an augmentation but can be more pronounced after implants.

Jonathan Heistein, MD · Answer

Hi. It doesn’t look like you have symmastia. Your result looks very nice and it is normal for the space in between your breast to get smaller when you push the implants closer together.

Daniel Barrett, MD · Answer

Dear cristina13alexandra,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Do I have symmastia or is this normal? 16 months post-op (Photo)

Answers (9)