Congenital Symmastia

Refine your cleavage. Restore natural separation.

Congenital symmastia, a rare condition where the breast tissue crosses the midline and creates a lack of separation between the breasts, can be challenging to correct. Treatment typically involves liposuction of the cleavage area (sternum) to reduce excess tissue and help redefine the space between the breasts.

In most cases, patients are advised to wear compression gauze and a T-bra following the procedure to apply consistent pressure across the midline. This helps improve contour and prevent recurrence of tissue merging. Multiple surgeries may be required to achieve a satisfactory and lasting result.

If the patient is also seeking breast implants, it is possible to combine the initial liposuction with implant placement during the first surgery. After recovery, a second procedure may be performed to reinforce the area with internal sutures (capsulorrhaphy) for optimal definition and long-term results.

Patients undergoing congenital symmastia treatment must have realistic expectations, as this is a complex and delicate procedure that requires experience and precision to achieve proper breast separation and symmetry.

Patient / Surgical Example

This 26-year-old teacher traveled from out of state after considering breast surgery for over 20 years. Alongside her husband, she spent years researching and seeking a plastic surgeon with the skill and confidence to address her unique concerns.

Her medical history included undergoing the Nuss procedure to correct pectus excavatum, which involved placement of a metal bar across her chest. In addition to this prior chest surgery, she presented with congenital symmastia, including skin webbing and excess tissue in the cleavage area.

Her case required a highly customized surgical plan to restore natural separation and enhance the shape of her chest with both aesthetic and functional goals in mind.

Surgical Planning & Technique

Before surgery, precise markings are made to guide your surgeon throughout the procedure. The “green” area marks where skin tenting will be corrected with liposuction for better contour. “Red arrows” indicate the areas where the patient desires more upper pole fullness with implants.

Tumescent fluid is injected before liposuction to minimize bleeding and enhance safety during surgery. To address the webbing across the chest—especially in this patient who already had a scar from her previous Nuss procedure—the surgeon recommended using the same incision to excise the excess skin. The patient was extremely pleased with this approach, as it avoided additional scarring while delivering her desired results.

Congenital Symmastia Treatment

Refine your cleavage. Restore natural separation.

Patient / Surgical Example

Surgical Planning & Technique

Feel Better. Look Better. Live VedaNu.

Congenital Symmastia Treatment

Refine your cleavage. Restore natural separation.

Patient / Surgical Example

Surgical Planning & Technique

Feel Better. Look Better. Live VedaNu.

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