Symmastia / Uniboob and no cleavage - can this be improved? (Photos)

Question

I’m a 44 year old female who had a breast reduction and lift. Prior to surgery my bust size was J cup and I had a 36cm drop. I had also undergone significant weight loss (60kg/120lbs). I’m unhappy with my results, I have no cleavage where I did before and there is allot of tissue inbtween the middle of my breast and the sternum.

Camille Cash, MD · Answer

Congratulations on your impressive weight loss!  An exam is needed to be sure but it appears you may benefit from a revision to correct asymmetry and further enhance the shape.  I encourage you to meet with a board certified plastic surgeon near you to discuss your concerns and learn more about the procedure.

Oliver Chang, MD · Answer

Symmastia is a difficult problem to address (whether born with it, or happened post procedure) - requires a new division to be created between the breast, which is not easy. There are certain techniques that can be tried, and maybe could provide some improvement but hitting a home run on the result is a tough one (even in experienced hands). Recommend seeking a few opinions - but there can be a combination of lipo and suture techniques that can be tried to see an artificial division can be created, but other than surgical attempts - likely won't have many options.

Gary M. Horndeski, MD · Answer

Your breasts still seem low on the chest wall.  You may benefit from another lift or from liposuction of the medial area to create more cleavage.

Best Wishes,

Gary Horndeski, M.D.

Darryl J. Blinski, MD · Answer

Based on only one post a photo, and no before photos, it appears the result is acceptable. Options could be a revision of the breast lift portion for a more tighter, inferior quadrant of the breast with liposuction of the sternal area and plasma to correct Ubu effect. Fee $8000-$15,000. Best of virtual consult with.

Mats Hagstrom, MD (license on probation) · Answer

To make a quality assessment regarding the outcome of any plastic surgery procedure we need to see a complete set of proper before and after pictures.
Pictures should be with you with your arms in a down position.
Before pictures give us an understanding of your candidacy for the procedure.
It tells us if it would be an easy or difficult procedure in regards to Aesthetic outcome.
 Most likely you had substantial amounts of excess skin that needed to be removed.
Sometimes there’s so much skin that the scars need to be extended, and we generally don’t connect the dots in the midline during breast surgery. 
Breast reduction outcomes are often judged based on where the patient started.
If you don’t have before, and after pictures, then ask your surgeon to forward the pictures they took
Consider reposting it with proper before and after pictures.
You should also follow up with your provider and have him or her address your concerns.
 You may also want to schedule a couple of in person second opinion consultations.
Best,
Mats Hagstrom MD

Symmastia / Uniboob and no cleavage - can this be improved? (Photos)

Answers (5)

Answer: Status post breast reduction from large cup to acceptable size with residual Una boob

Answer: Status post breast reduction from large cup to acceptable size with residual Una boob

Answer: Plastic surgery outcomes

Answer: Plastic surgery outcomes

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.

Symmastia / Uniboob and no cleavage - can this be improved? (Photos)

Answers (5)

Answer: Status post breast reduction from large cup to acceptable size with residual Una boob

Answer: Status post breast reduction from large cup to acceptable size with residual Una boob

Answer: Plastic surgery outcomes

Answer: Plastic surgery outcomes

Browse related questions

Recommended reading

Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.