Symmastia

Dear Sindy,

Hello and thank you for your excellent question. I recommend that you look into a no-vertical scar breast reduction procedure. There are a number of techniques, but my favorite is the Bellesoma technique. It is best to answer your question during a face-to-face evaluation, when you can discuss your goals and expectations for the procedure, and you can have a physical examination to evaluate for that procedure. I recommend that you find a board-certified, or board-eligible plastic surgeon with whom you are comfortable. Be sure to have all of your questions answered during a face-to-face meeting with your surgeon, and review before and after pictures of similar patients whom have had this procedure. If you have any questions, call our office for assistance. Good luck!

Symmastia is a diagnosis based upon an implant crossing the midline of the chest and communicating with the opposite side or close to it. And for patienrts with very large breasts, sometimes their central chest area is full possibly with fatty tissue or stretched out from the weight of the breasts. This may or may not improve with a reduction.

Breast reduction is a very common surgery for plastic surgeons. There are varying ways to perform the reduction, based on your specific anatomy. Your large breasts may have pulled the skin overlying your sternum away from the bone, making the midportion of your chest look full. Sometimes this can be corrected with liposuction or other surgical techniques. Please use the "Find A Surgeon" link to locate a board-certified ASPS member plastic surgeon in your area who can examine you and discuss your options.

Thank you for your question and doing your homework with ASPS member surgeons. Symmastia is a notoriously tricky condition and generally involves implants. For women with naturally large breasts and the appearance of symmastia without having implants, it may or may not improve with breast reduction surgery alone. A good starting point is an in-person consultation with a board-certified ASPS member surgeon. You can work with your surgeon to develop a treatment plan that is customized to your individual body and breast size and is best suited to your goals. Best wishes on a great result and speedy recovery!

sindyny,

Synmastia of the breast can be associated with Giagantomastia. The breasts can become soo large that they produce a uni-breast. Patients often complain they cannot lay flat on their backs or their breasts will slide uo to their necks beginning to choke them. Correction of the symastia at the time of your BR can often be the best solution. This is commonly performed as part of a patients BR in our office & by members of the ASPS. Best,

Gary Culbertson, MD, FACS

Hello, You sound like an excellent. Candidate for breast reduction ( a life changing procedure!) . This will make your breasts much smaller and lift them, which also tends to pull them further apart. If one needs to create a separation between the breasts this can be done at the time of breast reduction. You can also focus on the breast reduction first, heal, and address any residual concerns with a secondary procedure. In the hands of a properly trained plastic surgeon your breast shape and size will only get better! Best wishes.

Thank you for your question. It sounds like you are a great candidate for a breast reduction and possibly liposuction of the mid sternal area to improve this. I would recommend you contact your local board-certified plastic surgeon for a full consultation. Good luck!

Thank you for sharing your question. It appears that you would be an excellent candidate for a breast reduction procedure to improve your synmastia and enlarged breast symptoms. Be sure to see an ASPS board certified plastic surgeon in consultation to discuss.