Do I have symmastia/synmastia? (photos)

3rd BA, was 600cc HP saline under the muscle, to 750cc silicone HP above the muscle. left Implant moves and at times is more towards the center. I have been wearing a sternal compression garment from design Veronique the past 2 days and it's has only been since then that I have noticed the stretch marks. Should this garment be worn just under the incisions or right up to them? I have inframamery incisions and I am 37 days post-op.

Doctor Answers 8

What is symmastia?

Also called synmastia, this is when the breasts appear to touch in the middle so that the skin actually tents up rather than adhering to the breastbone. The photos do not appear to show symmastia, although there does appear to some slight asymmetry. Your surgeon will advise you as to postoperative care.

Seattle Plastic Surgeon
4.9 out of 5 stars 52 reviews

No, you do no appear to have synmastia

Synmastia is defined as the appearance of ONE breast in the midline. Or, put another way, the lack of definition of two distinct breast. Put yet another way, this is sometimes colloquially  called "uniboob." Your photos do not illustrate a one-breast appearance. No, you do not appear to have synmastia.

Peter J. Capizzi, MD
Charlotte Plastic Surgeon
4.9 out of 5 stars 84 reviews


You do not look like yo have symmastia in the photos that you posted.  I would touch base with your surgeon to determine which garment he wants you to wear.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 28 reviews

Do I have symmastia/synmastia?

No, you do not have symmastia. There may however be breast implant asymmetry related to breast implant pocket asymmetry.  You may find the attached link, dedicated to symmastia repair helpful for your own peace of mind. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,486 reviews

No synmastia

Based on your second photo, you do not have a synmastia. I would check with your surgeon though. If you are concerned there are special bras available to separate your breasts and preserve the natural gap between the breasts.

Lee E. Corbett, MD
Louisville Plastic Surgeon
4.8 out of 5 stars 25 reviews

NO Symmastia

Thank your for your pictures.  It does not appear that you have a symmastia.  You do have different size pockets. This can be address through surgery.

Dr. ES


Your photos do not show true synmastia, but it appears that the middle part of your left breast pocket is too close to the midline of your chest so your left implant is more "medial" than your right.  This will likely require surgery to correct at this point.

Leonard T. Yu, MD
Maui Plastic Surgeon
4.3 out of 5 stars 26 reviews

Do I have symmastia/symmastia

Thank you for submitting your question. You do not appear to have symmastia.  Discuus your concerns and garment with your Plastic Surgeon. Best wishes

Jeff Angobaldo, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 104 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.