Abstract
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. In this article, we present a case of congenital symmastia
corrected by four steps: liposuction of the intermammary region, use of suction drains
along medial breast border, transdermal bolster sutures, and customized compression
garment. Esthetic creation of the medial breast footprint and good preservation of
breast contours was achieved with considerably less scars. Thus, we propose our four-step
approach as an effective, minimally invasive method for treating congenital symmastia.
Keywords
congenital symmastia - liposuction - transdermal bolster sutures
