It sounds like you may have a small degree of symmastia, although, without pictures or an examination, it is hard to say exactly what might be going on.

The best thing to do is to have a consultation or two with board-certified plastic surgeons who have extensive experience with symmastia repair.

You should know that most surgeons do not have this experience even if they say they do. It may mean sending pictures via email or traveling outside of your immediate area, but it is generally worth the effort.

I hope this helps.

Published on Jul 11, 2012

You have a petite frame and full sized implants. You may not have true symmastia, but an artifact of your body habitus and the implants. There may be some bow string phenomenon of your skin across the natural sternal tissue that usually is fixed across the sternal bone. The tethers across the sternal bone can be anteriorly displaced by the projection of the implants in their pocket. If this bothers you the intervention is to place acellular dermal matrix in the medial side of each implant pocket. It acts like a permanent brassiere to keep your implants a little further apart than your anatomic sternum and implant relationship that now exists. If it stays stable in appearance over time, you do not need to act. If it bothers you, then it will probably need to be discussed with your surgeon. I would be happy to be of assistance to you if you are not getting your concerns addressed.

Published on Jul 11, 2012

Symmastia is an actual opening where a space between the two breasts and the implant can move from one side to the other.

Published on Jul 11, 2012

Symmastia refers to a loss of the medial definition of the breast mound. This is occasionally seen in subglandular augmentation when the midline is overly dissected.

Regarding your specific question, you may have had some inadvertent violation of the medial border but it is not a true symmastia unless the medial border is lost. Depending on the degree of augmentation, there will always be some stretch.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Published on Jul 11, 2012