What is Symmastia?

When breast implants are too close together, it is called symmastia, synmastia (or “uniboob.”)  symmastia before and after photo

If a breast implant is not properly positioned behind the breast, the breast will look very odd. If it is too high, there will be an upper bulge and the nipple will tip down. If the implants are placed too low, the upper breast will be empty and the nipples will tip up.  If they are placed too far out to the sides, cleavage will be absent and the nipples may tip inwards.

Can Symmastia be fixed?

Los Angeles plastic surgeon Dr. Steven Teitelbaum is an expert in breast revision surgery. He has corrected every type and every combination of these deformities, has written articles on it, and has taught new techniques for correcting them to many surgeons.  One technique closes off the unwanted portion of the pocket in which the implant sits (“the capsule”) with special stitches; this is called a “capsulorraphy.”

Another technique is the “neosubpectoral pocket” or “neosubglandular pocket”. This is a new technique which Dr. Teitelbaum has written about and taught to other surgeons, and it is based upon using the body’s own tissues to close off the pocket.  If there is an instance when tissue is weak, Dr. Teitelbaum can reinforce it with an acellular dermal matrix (ADM), such as Alloderm® or Strattice.

Live patient video: Before and after symmastia correction surgery

Dr. Teitelbaum walks us through a patient's symmastia correction, from just before surgery through one day and one week after to demonstrate how this uncomfortable breast implant problem is corrected.



Do you have Symmastia?

For information about the cost of symmastia correction or breast implant revision in Los Angeles or to schedule a consultation, call board certified plastic surgeon Dr. Steven Teitelbaum at 310-315-1121 or click here to contact us by email.

Before and After Symmastia Photos

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  1. Symmastia, Inferior Malposition (L), Wants Smaller

    This patient did not know exactly was wrong. She just knew that they were too big and mishapen. The right was far inward, and the left was inward and low. The pockets were equalized and implants were placed which fit her body.

  2. Symmastia

    This poor woman developed symmastia because her implants were way too big and she has a concave breast bone. Her skin was so stretched for so many years that it did not snap back. If she wants to fix that she would get a lift.

  3. Medial/Inferior Malposition - Symmastia

    Concave breast bone and large implants caused symmastia. Strattice was used to reduce and strengthen new pockets, and smaller implants were placed. The left implant was also too low.

  4. Symmastia, Wants Smaller

    It is obvious that her implants were simply too wide for her chest. They could not go anywhere but touch in the center. The central pocket was closed, reinforced with Strattice, and smaller implants were placed.

  5. Symmastia, Wants Smaller

    This patient developed symmastia immediately after surgery. Her implant pockets were actdually connected. It is clear that her implants were wider than her chest. She was corrected with smaller implants and a neosubpectoral pocket.

  6. Medial and Superior Malposition (Right)

    She has had multiple surgeries to even out her breasts, but the right remained high and to the center, so that it was touching the left breast. Her tissue is so damaged that the result is not perfect, but at least the implants are at the same height.

  7. Superior Malposition, Medial Malposition

    The implants were inaccurately placed from a belly button approach, leaving the left implant too high and too much towards the center. Scar tissue was removed and accurate pockets created.

  8. Medial/Inferior Malposition - Symmastia and Wants Smaller

    Her implants are wide, but they were also placed too close together. Note how that tips her nipples outwards. Strattice was used to reinforce the tissues adn keep the implants more outwards, and smaller implants were placed.

  9. Medial/Inferior Malposition - Symmastia and Wants Smaller

    Her implants are too wide for her chest, and so they met in the center. The central pockets were closed off and smaller implants were placed.