Congenital Symmastia: A Four-Step, Minimally Invasive Approach
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. Additio...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2020-03-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1710087 |
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| author | Neha Jain Uthraa Thambiran Leena Jain Siddharth Prakash Shrirang Purohit Samir Kumta |
| author_facet | Neha Jain Uthraa Thambiran Leena Jain Siddharth Prakash Shrirang Purohit Samir Kumta |
| author_sort | Neha Jain |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-62eefcbdf06d47b1bf28f98c22acbfb6 |
| institution | DOAJ |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-62eefcbdf06d47b1bf28f98c22acbfb62025-08-20T03:19:31ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2020-03-01530114014310.1055/s-0040-1710087Congenital Symmastia: A Four-Step, Minimally Invasive ApproachNeha Jain0Uthraa Thambiran1Leena Jain2Siddharth Prakash3Shrirang Purohit4Samir Kumta5Department of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Center, Bandra Reclamation, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Center, Bandra Reclamation, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Center, Bandra Reclamation, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Center, Bandra Reclamation, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Center, Bandra Reclamation, Mumbai, Maharashtra, IndiaDepartment of Plastic and Reconstructive Surgery, Lilavati Hospital and Research Center, Bandra Reclamation, Mumbai, Maharashtra, IndiaSymmastia 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.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1710087congenital symmastialiposuctiontransdermal bolster sutures |
| spellingShingle | Neha Jain Uthraa Thambiran Leena Jain Siddharth Prakash Shrirang Purohit Samir Kumta Congenital Symmastia: A Four-Step, Minimally Invasive Approach Indian Journal of Plastic Surgery congenital symmastia liposuction transdermal bolster sutures |
| title | Congenital Symmastia: A Four-Step, Minimally Invasive Approach |
| title_full | Congenital Symmastia: A Four-Step, Minimally Invasive Approach |
| title_fullStr | Congenital Symmastia: A Four-Step, Minimally Invasive Approach |
| title_full_unstemmed | Congenital Symmastia: A Four-Step, Minimally Invasive Approach |
| title_short | Congenital Symmastia: A Four-Step, Minimally Invasive Approach |
| title_sort | congenital symmastia a four step minimally invasive approach |
| topic | congenital symmastia liposuction transdermal bolster sutures |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1710087 |
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