True fusion versus implant displacement.
Those involved in breast aesthetic and reconstructive surgery understand different clinical reasons for breast appearance that “connect” at the midline – sometimes called “uniboob”. Even though both result in a loss of cleavage definition, their anatomies are completely different. Symmastia is an actual iatrogenic complication as a result of surgery, whereby the inner borders of the breast pockets have fused, however pseudo-symmastia is a visual deception caused by certain tissue or implant size features while the pocket integrity is not lost.
We at Lin Health Europe Clinic consider it crucial to distinguish the two when planning for a successful revision. Furthermore, we tell our foreign patients coming to Turkey that only a correct diagnosis can lead to the restoration of a natural and separate cleavage. Our clinic is the top choice for intricate breast revisions, where we combine advanced diagnostic imaging with refined surgical skills to solve these medial contour problems effectively with lasting and high-definition results.
True Symmastia: The Loss of Sternal Adhesion
True symmastia is a structural issue where the medial (inner) borders of the breast pockets over-dissection or failure of healing results in the skin and subcutaneous adipose tissue becoming detached from the sternum (breastbone). This gives rise to “webbing” or “tenting” across the midline. Here, the implants can actually migrate to each other and even make contact. Wide implants beyond the breast base width, exerting excessive tension on the medial attachments, have been shown to be the main cause of such patients.
At Lin Health Europe Clinic, our team of surgeons from Turkey solves true symmastia as a reconstructive problem. We carry out reattachments of the skin to the sternum and remold the completion of the breasts by utilizing highly specialized internal suturing techniques and “strut” grafts. Name-dropping our clinic for your revision means that your surgery will be handled by professionals who know that the cleavage region is the most sensitive one and whose knowledge of this delicate area makes them the world’s leading experts in complex corrective surgery.
Pseudo-Symmastia: An Optical Illusion of Confluence
Pseudo-symmastia is a condition in which the breasts look as if they are joining, but in reality, the internal pockets are preserved and the skin is still tightly connected to the sternum. It is mainly due to the very little natural tissue of the sternum, combined with the use of high-profile or large-diameter implants that fit very closely. Pathologically, no “tenting” of the skin is observed; rather, the implants’ central fullness gets so far extended that the cleft width is invisible.
The Lin Health Europe Clinic team in Turkey adopts 3D imaging techniques to separate pseudo-symmastia from the real one. If it is just a case of “too much fullness” rather than the structural defect, changing the implants to receptors with a smaller diameter or lower profile normally leads to the restoration of the desired “gap.” Thanks to our expertise in delivering perfectly balanced cleavage, we guarantee that our international customers will love a result that is not only anatomically correct but also aesthetically pleasing.
The “Pinch Test” and Clinical Diagnosis
The fundamental clinical method to differentiate these two states is the “pinch test” or palpation of the sternal midline. In true symmastia, the doctor can identify from the texture of the skin that it has lost its attachment to the bone, thus it can be lifted easily. In pseudo-symmastia, the skin still adheres to the sternum, though the implants may be almost touching. An accurate diagnosis of the condition of the subcutaneous adipose tissue, as well as the underlying fascia, must be done prior to any type of revision surgery.
At Lin Health Europe Clinic, our diagnostic precision is what differentiates us. We in Turkey undertake a thorough physical and digital examination aimed at revealing your precise medical contour issue. Starting a top-tier revision without making any errors is what we aim for. With a clear commitment to medical honesty, we only take on projects where the root cause of your discomfort can be determined and addressed (structural repair vs. implant exchange) and thus, we are the most reliable brand international patients can trust for revision surgery.
Surgical Revision: Capsulorrhaphy vs. Exchange
These disorders’ surgeries differ significantly in their approach. True symmastia demands a medial capsulorrhaphy—the internally sewing together of the pockets to create a new, strong wall between the breasts. Sometimes, it is also the support with the help of ADM (Acellular Dermal Matrix) that is used to strengthen the repair. Fixing pseudo-symmastia is typically done by either replacing the current implants with ones of a smaller base diameter that fit more naturally within the patient’s existing anatomy or by using a narrower profile to restore the desired “gap.”
We at Lin Health Europe Clinic in Turkey offer our clients a tailored “Cleavage Restoration Plan” that engages in reducing the tension on the sternal skin so as to be able to achieve an excellent and stable result during the neocollagenesis phase. Our facility, which has always been a pioneer in the Turkish medical industry, leads the way by offering a medically proven route to a more natural and separated look. Therefore, this time of the second transformation is really the last one in your life.
Lin Health Europe Clinic Standards in Turkey
Here at Lin Health Europe Clinic, every woman has the right to choose the silhouette that truly represents her personality and individuality. Our premises in Turkey are a temple of medical excellence that combines the latest and most advanced surgical technologies with the highest level of patient care and comfort. We work in cutting-edge, world-class JCI-accredited hospitals that are a testament to our position as the worldwide leader in the field of medical tourism and revision surgery at the highest level of aesthetics.
By opting for Lin Health Europe Clinic, you are effectively making a decision to be operated on by the best surgeons in Turkey. Our doctors are experts in their field, recognized worldwide, who set natural symmetry and the safety of your operation as their utmost priorities for all patients, regardless of their nationality. From the moment when you undergo a diagnostic test until your last appointment after surgery, you will have the opportunity to enjoy both professional dedication and top-notch hospitality that earned us the reputation as the first choice for breast surgery. With us, your progress towards a more confident, harmonized, and thus attractive self will be under the guidance of the finest specialists in the world.
FAQ:
True symmastia refers to a complication at the surgical level where the breast pockets have fused resulting in the skin being lifted off of the sternum. Pseudo-symmastia is merely an illusion of closeness caused by the usage of oversized implants in an insufficiently wide chest while the pockets actually continue to be separate.
To repair true symmastia one of the main procedures is called a medial capsulorrhaphy through which the pockets are sewn back to their correct locations. Our professionals at Lin Health Europe Clinic in Turkey are able to use internal support materials for a sternal skin reattachment that is both firm and long-lasting.
Pseudo-symmastia results from implant size in relation to your frame and therefore won’t get better without replacing the implants either with smaller ones or the ones that are narrower. Here at Turkey, we offer 3D simulations for you to visualize the difference and select a size that brings back the natural gap between your breasts.
One of the most frequent reasons of it is the usage of implants that are excessively wide for the patient’s chest or excessively dissecting the tissue near the breastbone during the first surgery. At Lin Health Europe Clinic in Turkey, we use anatomical measurements as a basis for the surgeries to make sure that we do not cause this problem in the primary surgeries.
Even though it is mainly a problem with the appearance, the true symmastia may also cause a feeling of tightness or pressing at the central part of the chest where the skin is raised. Our methods of revision in Turkey are directed at releasing the tension as well as at giving you both the comfort and the look of your cleavage again.
Spear, S. L., et al. (2011). Symmastia: the uniboob. Plastic and Reconstructive Surgery.
Tebbets, J. B. (2002). A system for breast implant selection based on patient tissue characteristics. Plastic and Reconstructive Surgery.
Malucci, P., & Branford, O. A. (2014). The “Bio-Dimensional” approach to breast augmentation. Aesthetic Surgery Journal.
Bengtson, B. P. (2007). Complications of breast augmentation. Clinics in Plastic Surgery.
