Symmastia? (photo)

I'm 4 weeks post-op. HP 300cc silicone unders. One pic is 3-4 days post-op, the other is ~3.5 wk post-op. Would this be considered symmastia? I can press down on the tissue in the center to touch the breast plate. I have a visit with my PS soon, but would like to hear other opinions. Thanks

Doctor Answers 20


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Scully13,  I can not make a full opinion on this without looking at your before photos.  Some patients have breasts that sit closer together verses others.  Implant placement depends on your measurements that your surgeon should have taken preoperative.  Make sure that your surgeon did not use an implant that is too wide or too big for your God given breast folds.  

Jackson Plastic Surgeon


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Hi.  It would be helpful to see your pre op photos but I would bet that your cleavage was close then too.  If you pushed your breasts together pre op, then you would see that you had a close cleavage.  You are able to touch your breast bone now and therefore, there is not a connection between the breast pockets and besides this, a milder form of synmastia (where the surgeon tries to get a closer cleavage for a patient.....dangerous move !) is also not present.  This milder form of synmastia will change the cleavage position to have it off center and yours is centered nicely.  Some patients would give anything to have this cleavage !!     You are still early in the post op period and you may have more pushing of the cleavage from the implants being under the muscle, esp with the high profiles.  Give it will be surprised at the changes.  Stay close to your ps and you will have the right answers.

Post Op Swelling May be Mistaken as Symmastia

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If you recently underwent breast augmentation surgery, you are most likely experiencing swelling between the two breasts. This will improve with time and #swelling will subside. Your #healing will continue for 2-3 months following your #breast procedure. There may be some swelling, bruising, malposition, color differences. Sensation will be abnormal and scars will also be changing.

But, it can be up to one year see your final result. Additionally, your surgeon may require you to move or massage the implants within the breast pockets during the #postoperative period. (#Textured implants do not require breast massage.). This you will be more informed about during your post operative follow-up appointment. 
In the meantime, you must have patience, but if there are any causes of concern, ask questions of your plastic surgeon or their nursing staff.  

Wide impants

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You don't have symmastia, but I would suggest that the implants chosen are a little too wide for you chest. They are 'crowded'. Do you like the way they look? If so, don't worry about putting labels to things. If you don't like the way they look then talk to your surgeon regarding what can can be done to improve things.

Not Symmastia After Breast Augmentation

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Judging from your photos, it does not appear that you have symmastia since your breasts are still somewhat isolated from each other with cleavage (even though the space of your cleavage is small). However, you should discuss your concern with your surgeon, as they may be able to recommend something that could help increase the space between your breasts.

You do not have a true symmastia

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Thank you for your question and photographs. Since the skin in the cleavage area is still attached to your sternum or breast bone, you do not have true symmastia. Symmastia is called uni boob because the implants have no separation between them. Be sure to discuss your concerns with your plastic surgeon.

No Symmastia

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Thanks for the photos.  If you can not push one implant clearly to the opposite side then you do not have symmastia.  Your result appear to be good.

Dr. ES


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Your breast implants are quite close together but this is not synmastia.  Synmastia is when the two implant capsules erode into each other.  There appears to be enough soft tissue present to prevent this from happening.  


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No you do not have Symmastia. As the other plastic surgeons mentioned, Symmastia is when the two breast pockets become "one" and create a sort of "Uni-boob" look. You just have a very nice cleavage!

Breast Augmentation & Symmastia

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What you have is... really great cleavage!  With symmastia, your implants would have a pocket which is connected, which means, you would be able to move the implants back and forth from side to side.  I bet your breasts were really close together to begin with - but with implants and enlarging the area, they became even closer. You look great!

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.