Treatment of congenital symmastia can be challenging and could benefit from liposuction of the between the breasts (sternum area). The use of compression gauze and a “t-bra” will help put pressure on that area for improvement in contour.
In general, it may take several procedures to achieve a separation. If the patient with congenital symmastia is also interested in breast implants, there is an option to have breast implants placed as well as the liposuction of the cleavage area in one surgery and then after healing and recovery, proceed with a 2nd surgery to perform internal sutures (capsulorrhaphy) for better definition and contour of the cleavage area. Patients with congenital symmastia must have realistic expectations.