Do I have congenital symmastia? Procedure recommendations? (photos)

Yes, I feel that you do indeed have a type of symmastia, giving a sort of 'web' between the breasts. Breast augmentation is still possible and may look great, but the dissection has to be very carefully done ( and not 'overdone'). Suggest you choose a surgeon with a lot of experience.

Hope this helps.

The weight of your breasts is stretching your skin envelope and your breasts are descending onto the lower chest or upper abdominal wall. The technique I recommend is a lift using The Bellesoma Method. This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage. Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Provided the implants are narrow-based, and pocket dissection is cautious, breast augmentation should minimize the appearance of symmastia. Selective liposuction may also be a useful tool, particularly if you did not want larger breasts.

Dear Caring5501,
it is hard to tell for sure without an examination. Based on your photos, it doesn't look like you have symmastia. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Good morning!

you do have a somewhat indistinct interbreast definition. implant shape and size are critical to be sure that does not worsen. "less is more" is the mantra you need to keep in your head to avoid a potential disaster- a conservative implant size and narrower shape is necessary to give you a nice result.

i hope this helps

Am examination is needed to see if you just have a layer of fat over your bone or actual breast tissue. You photo looks more like fat. I would suggest choosing implants that fits your frame and tissue and not go with large implants.

Dear Caring,
We don't know your age, height, weight, etc. However, your breasts are normal and beautiful. Leave them alone.

Your photos do indicate that you have symmastia. You can still be a candidate for breast augmentation but implant selection is important. Be sure to visit with an experienced board certified plastic surgeon for a consultation.

You do appear to have the condition you are concerned about. This is a total setup for major symmastia if you do an augmentation and the implant choice is bungled. They need to be under the muscle and the key is that a full muscle barrier needs to be maintained and a narrower than usual implant diameter needs to be used. Be very careful that your surgeon recognizes these issues or this could wind up very bad.