Congenital symmastia is a relatively uncommon condition and poorly described in the literature. Although numerous studies have evaluated iatrogenic symmastia including its prevention and treatment, considerably less has been studied with regard to congenital symmastia. In this review, the authors seek to consolidate the literature published thus far and provide techniques and principles of management that may guide surgeons treating patients with this condition.
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http://dx.doi.org/10.1097/SAP.0000000000002606 | DOI Listing |
Plast Reconstr Surg
May 2024
the Division of Plastic Surgery, Universidade Federal de São Paulo.
Background: Symmastia, first defined by Spence et al. in 1984, is a medical condition characterized by the convergence of breast tissues in the midline, resulting in the absence of adhesion between the skin and subcutaneous tissue over the presternal area. It can be either congenital or acquired.
View Article and Find Full Text PDFAnn Plast Surg
May 2021
From the Department of Plastic and Reconstructive Surgery, The Ohio State University Wexner Medical Center in Columbus, OH.
Congenital symmastia is a relatively uncommon condition and poorly described in the literature. Although numerous studies have evaluated iatrogenic symmastia including its prevention and treatment, considerably less has been studied with regard to congenital symmastia. In this review, the authors seek to consolidate the literature published thus far and provide techniques and principles of management that may guide surgeons treating patients with this condition.
View Article and Find Full Text PDFJ Plast Reconstr Aesthet Surg
March 2021
Department of Plastic and Hand Surgery, Centre Hospitalier Universitaire Vaudois (CHUV), University of Lausanne (UNIL), Rue du Bugnon 46, 1011 Lausanne, Suisse. Electronic address:
Background: The term "symmastia" defines a confluence across the mid-sternal line of the breast mounds and subsequent loss of adhesion between sternum and pre-sternal skin. This condition can be congenital or, more frequently, iatrogenic. Despite the number of different treatments published in literature, no systematic review or surgical techniques classification has been attempted in literature.
View Article and Find Full Text PDFBreast J
July 2020
Department of Plastic Surgery, Cleveland Clinic, Cleveland, Ohio.
Plastic surgeons routinely encounter patients desiring correction of breast asymmetry, hypoplastic growth, or other aesthetic concerns. An appropriate recognition of congenital breast conditions is critical for plastic surgeons. Without consideration of underlying anatomical abnormalities in these patients, surgical intervention may not result in optimal aesthetic outcomes.
View Article and Find Full Text PDFIndian J Plast Surg
March 2020
Department of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Center, Bandra Reclamation, Mumbai, Maharashtra, India.
Symmastia is a rare condition in which breasts are unified medially due to aberrant development of mammary tissue in the intermammary region, resulting in the appearance of an intermammary web. There are limited reports on this rare anomaly and hence, no standard protocols on its management. Additionally, creating a normal cleavage in these young patients without scars over or around the breast is a challenge from an esthetic standpoint.
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