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Congenital Symmastia: A Four-Step, Minimally Invasive Approach.

Neha Jain1, Uthraa Thambiran1, Leena Jain1

  • 1Department of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Center, Bandra Reclamation, Mumbai, Maharashtra, India.

Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India
|May 6, 2020
PubMed
Summary

Congenital symmastia, a rare breast anomaly, can be effectively treated with a novel four-step minimally invasive surgical approach. This technique improves breast contour and reduces scarring for a better cosmetic outcome.

Keywords:
congenital symmastialiposuctiontransdermal bolster sutures

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Area of Science:

  • Plastic Surgery
  • Congenital Anomalies
  • Breast Surgery

Background:

  • Symmastia is a rare congenital breast anomaly characterized by medial fusion of the breasts, often presenting as an intermammary web.
  • Limited case reports exist for symmastia, lacking standardized management protocols.
  • Achieving aesthetically pleasing results with minimal scarring is a significant challenge in correcting this condition, especially in young patients.

Observation:

  • This article details a case of congenital symmastia successfully corrected using a four-step surgical technique.
  • The procedure involved liposuction of the intermammary region, placement of suction drains along the medial breast border, application of transdermal bolster sutures, and use of a customized compression garment.
  • The approach focused on esthetic reconstruction of the medial breast footprint while preserving breast contours.

Findings:

  • The proposed four-step method resulted in the esthetic creation of the medial breast footprint.
  • Good preservation of breast contours was achieved post-operatively.
  • The technique offered a solution with considerably less scarring compared to traditional methods.

Implications:

  • This minimally invasive, four-step approach offers an effective treatment option for congenital symmastia.
  • The technique addresses the esthetic challenges associated with correcting this rare breast anomaly.
  • Further studies may validate this method as a standard protocol for symmastia correction.