Does symmastia get worse over time?

Thank you for your question.  Yes, it can often get worse as the weight of the implant stretches the skin.  

There are different causes of symmastia, but I will address symmastia caused by breast implant malposition.  Yes, it can get worse over time, but a lot depends on when your initial surgery was and what is happening right now.  Once the scar tissue has stabilized, it may remain the same indefinitely.   If you can submit photos and a description of what your experience has been so far, we can all answer your question better!Sincerely,Dr. Michelle Spring

Synmastia can occur in very large breasts as well as smaller breasts that have undergone augmentation with over dissection of the breast pockets medially so as to connect the two. I'm presuming you're talking about the second where once the capsule forms around the implants the condition is unlikely to worsen.

The appearance of symmastia occurs when the skin over the sternum or breast bone is pulled away from the bone. This can occur immediately following breast augmentation when the implant pockets are developed too close together, and in the worst of circumstances, when they connect with one another. It can also occur over time as the breast skin slowly stretches and pulls away from the sternum. Both cases can be corrected surgically, but require advanced techniques with relatively lengthy surgery and expense. Contact an experienced plastic surgeon for quality advice.i hope this helps.

True Synmastia may get worse over time as the capsule around the implants matures. Dr. Burnett

I am sorry to hear about your concerns regarding breast implant mal position. Symmastia and other types of breast implant malposition problems do not necessarily get worse over time. At some point postoperatively, the  breast implants will reach a "stable state" where no  significant further movement is expected.  This is one of the reasons why I suggest patients avoid evaluating the outcome of breast augmentation surgery for at least six months to one year after the procedure was performed.  Generally, at that point, the breasts have reached their "final" state;  any potential need for revision surgery can do more accurately determined. You may find the attached link, dedicated to symmastia  concerns, helpful to you as you learn more. Best wishes.