Congenital Symmastia: A 3-Step Approach

Area of Science:

• Plastic Surgery
• Congenital Anomalies
• Surgical Techniques

Background:

• Congenital symmastia is a rare medical anomaly characterized by the unilateral or bilateral absence of the inframammary fold, resulting in the medial confluence of the breasts.
• Limited case reports exist for congenital symmastia, and there is no established standard treatment protocol.
• This condition presents unique challenges in surgical correction due to the absence of a defined intermammary sulcus.

Observation:

• A case of congenital symmastia was presented for surgical correction.
• The patient exhibited a complete medial confluence of the breasts without a distinct inframammary fold.
• The primary goal was to achieve separation and normal cleavage between the breasts.

Findings:

• A novel three-step surgical technique was employed for correction.
• The procedure included liposuction to reduce breast volume, fixation of the skin to the chest wall in the inframammary area, and postoperative intermammary compression.
• The treatment resulted in a successful aesthetic outcome with the creation of normal breast cleavage.

Implications:

• This three-step approach offers a viable and effective solution for congenital symmastia.
• The described technique may serve as a potential standard of care for this rare condition.
• Further studies and case reports are warranted to validate the long-term efficacy and reproducibility of this treatment.