Symmastia: How Can I Separate my Breasts?

Thank you for the question.

Unfortunately, without direct examination or viewing pictures it is difficult to give you precise advice.  I have found that treatment of congenital symmastia can be challenging. Sometimes patients with “congenital” symmastia  benefit from liposuction surgery of the area between the breasts ( over the sternum);  whether or not you are a candidate for this procedure will depend on your physical examination. 

Yes, you can use a thong bra if you'd like.

You may find in person consultation with well experienced board-certified plastic surgeons to be helpful to you.

Best wishes.

Congenital symmastia is an extremely rare anomaly which requires an experienced surgeon to really understand not only how it occurred, but what it really takes to correct it.  Often times it requires manipulating the tissues over the sternum, as well as the breast tissue itself to really get the area in the middle of your chest to sit down and provide you with an normal breast and chest appearance.  Sometimes you ned to reinforce areas with some synthetic or biologic material as well to help strengthen everything.  I would go for a consultation with a plastic surgeon who has experience and see what they have to say.  I hope this helps.

Synmastia is more commonly caused by breast augmentation.  Your case is unusual.  But the treatment principle is the same.  A thong bra?  Not sure what that is, but I don't think it will suffice.  Do you want implants or is your size okay?  I typically repair synmastia by closing off the capsule medially, preventing the implants from abutting in the midline.  In your case, internal sutures may correct the problem.  But you need an experienced plastic surgeon who has treated this problem before.  And you need to see before and after photos.  Synmastia is not an easy problem to correct.