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Symmastia is a type of Breast Implant Malposition which occurs when the implants are too close together. When the implants slide across the midline of the chest, the skin over the sternum (breast bone) is lifted. As a result, the breasts lose their separation and appear to fuse across the midline giving rise to the term “uniboob.”

Symmastia and Bottoming Out

Breast Augmentation Revision for Symmastia (Uniboob) Before and After pictures

Breast Augmentation Revision for Symmastia (Uniboob) Before and After pictures. In the before photo, this patient had breast implant malposition with bottoming out (right > left) and symmastia. In the after photo you can see her breast implants have been raised and separated. (To view uncensored photos, click on the image.)

The History of Symmastia Repair

During my training, Symmastia Repair was one of the most difficult and technically demanding Breast Implant Revision Surgeries. The procedure involved closing off the medial aspect of the breast implant pockets with numerous, meticulously placed internal stitches. The goal was to create a barrier along the inner aspect of the breast implants to keep them separated. Surgical hurdles included:

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