What is symmastia?

Answer:

Symmastia is a condition in which the natural central depression over the sternum that separates the two breasts is violated and the area lifts up to give the appearance of one very large breast. This happens as a result of implant malposition, more common when implants are placed in a subglandular pocket. Usually in a submuscular pocket, the implant is “blocked” or restricted from moving more medially because of the natural insertion of the pectoralis muscle on to the sternum. Symmastia may develop in individuals when the surgeon attempts to produce more cleavage for the patient. Treatment of symmastia often includes a capsulorrhaphy or pocket repair. Some surgeons may add an acellular dermal matrix (ADM), such as Strattice to reinforce the pocket repair. If the implant is in the subglandular plane, placing it in a submuscular plane may be beneficial. Back to Questions  

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