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
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References in periodicals archive ?
Speaking in November 2017, Charlotte said she'd undergone corrective surgery to get rid of her 'uniboob' - a symptom of the congenital symmastia she was born with - after cruel followers criticised her "deformed" body on social media.
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.[sup][3]
To achieve complete correction of congenital symmastia, it is mandatory to remove the medial web-like soft tissue and to recreate the normal medial border of the breast.
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. [sup][8],[9],[10] Although some experienced doctors could reach out of the margin of NTZ a little bit without complications, as a rule, the NTZ should be highly respected.{Figure 4}{Figure 5}
Surgical correction of symmastia. Plast Reconstr Surg 2010;125:1577-9.