Symmastia

A rare congenital anomaly in which the medial aspect of both breasts are bridged by soft tissue across the midline at the sternum. Symmastia can also result from a cosmetic surgery mishap in which the pouches for breast implants were cut too close to the midline
Solution A proprietary material—Strattice™ tissue matrix—supports the medial repair, giving the surgeon control over the implant location and pocket size
References in periodicals archive ?
Symmastia is defined as the medial confluence of both breasts or unification of the breasts by soft tissue on the sternum rendering them inseparable.
A 36-year-old Korean woman with congenital symmastia and macromastia visited our hospital for corrective surgery.
Treatment of congenital symmastia is a challenging prospect for plastic surgeons due to its rare prevalence and reporting.
In cases of congenital symmastia with macromastia, reduction mammoplasty is a very useful surgical method because it reduces the breast volume and simultaneously removes the lower web-like tissue with ease.
Liposuction should be considered a necessary procedure for congenital symmastia with or without macromastia.
For all cases of congenital symmastia, a personalized “X-shaped” support garment should be accoutred immediately after surgery for at least 3 months to stimulate adherence of the presternal skin to the sternum.
INTRODUCTION: Congenital anomalies of breast may present as Amastia (Absence of breast tissue) Athelia (Absence of the nipple), neonatal breast hypertrophy, polymastia (Accessory breast tissue) Polythelia (Supernumerary nipples), symmastia (Webbing between the breasts across the midline) Diffuse hypertrophy of the breast, and Tuberous breast (Breast is elongated from a narrow base to take a sausage-shaped contour, with a disproportionately large and protuberant areola and nipple).
Old married female presented with pain and lump in both breasts for 2 months On examination ANDI was suspected, incidental symmastia was noted, however the patient was unaware of the condition and was treated conservatively for ANDI.
Dissection of NTZ could also induce the palpation of the implant edge, even the symmastia.