Dr. Lavinia Chong is a highly sought out Newport Beach plastic surgeon as a result of her experience and artistic touch with revising breast augmentation complications. One such complication, symmastia, is a rare condition where the breasts are confluent, joined together in the middle of the chest. This lack of separation causes the breasts to look like what is often referred to as a “uniboob”. While this implant malpositioning can be difficult to repair, revisional options do exist. Using procedures pioneered in breast reconstruction, Dr. Chong has helped many women get the natural looking breast enhancement they have always wanted.

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What is Symmastia and Breast Implant Malposition?

When breast implants become positioned too closely together, the result is a lack of cleavage. The goal of your primary breast augmentation may have been an increase in cleavage. However, in trying to achieve this goal you may have ended up looking like you have one continuous breast, or breasts that are unnaturally close to each other. The results are not the desired surgical outcome.

There exist certain risk factors making some patients more susceptible to complications than others. Historically, patients who are at higher risk for developing symmastia are thin, whose breastbone curves inward, and who have larger implants. Understanding the role of patient anatomy is key in developing a plan for symmastia repair. As a female plastic surgeon, Dr. Lavinia Chong is among the most popular plastic surgeons in Newport Beach and Southern California for breast revision surgery. 

Dr. Chong did a fabulous job and I only wish I had known about er sooner. She is down to earth which made me very comfortable speaking with her of the procedure I wanted. She discussed everything in full detail and has her staff provide all costs very clearly. I highly recommend Dr. Chong for any cosmetic surgery needs” -JoAnn R. (Patient since 2010)

The Consultation Process

Symmastia repair requires revisional breast surgery. During your consultation, Dr. Chong will review your specific case taking into consideration the condition of the tissue surrounding the breast implant, the measurements of your chestwall, and the current sizing of your breast implant. Dependent upon these variables, she may discuss options surrounding a capsulotomy, capsulectomy, capsulorrhaphy, and/or the use of an ADM (acellular cadaveric dermal matrix) such as Strattice. She may discuss options to place subglandular implants submuscular. There is no standardized approach to symmastia repair, each case is unique and a surgical plan is developed based upon the individual needs of the patient.


Symmastia Repair FAQs

What is Strattice?

Strattice is a collagen scaffolding used for symmastia repair. As a biomesh, Strattice will soften and become part of the breast flap. This planned surgical approach reinforces deficiencies by repairing and supporting soft tissue, redefining the space occupied by the breast implant. It serves as a hammock, creating a much stronger support for the implant. Dr. Chong’s experience with Strattice has provided her patients a durable, powerful, soft solution to revisional breast surgery.

Capsulotomy, Capsulectomy, or Capsulorrhaphy?

There is often confusion surrounding these three terms. Breast revision may involve opening/scoring the capsule surrounding the breast implant, the capsule may be removed, or the size of the pocket may be reduced and recontoured. The details of your proposed surgical plan will be discussed and explained during your consultation with Dr. Chong. When preparing for your consultation, please bring any previous operative reports and current implant information to discuss with Dr. Lavinia Chong and her surgical staff in Newport Beach.

Do I Have to Replace My Implants?

Many Newport Beach women who experience symmastia maintain their current desire for augmented breasts. Dr. Chong’s primary focus is to help women experiencing symmastia regain their path toward the physical perfection they were originally seeking. However it is often suggested that the patient look to a new implant shape, size and/or profile to help them achieve their desired look.

The Procedure

Preparing for a revisional breast procedure is very similar to how you prepared for your initial breast augmentation procedure. You’ll need to fast for at least 12 hours prior to arrival at our Orange County Surgical Suite. When you arrive, our pre-op surgical team will take your vital signs and prepare you for surgery.

During your surgery for symmastia repair, you will not have to undergo general anesthesia. Rather, Dr. Chong and her team of anesthesiologists use a lighter form of MAC (monitored anesthesia care), utilizing more rapidly metabolized sedatives. You will breathe on your own without a breathing tube while under this “Twilight” sedation.

After Dr. Chong has completed your breast surgery, you will be transferred to a private recovery room, where you are monitored by the nursing staff. Most patients will wake up within several minutes after the surgical procedure is completed. This means that you’ll have a pleasant sleep experience without the heaviness or nausea of general anesthesia.

“I have been a patient of Dr. Chong’s since 1999 and have referred friends to her since then. I’ve received many compliments on my breast augmentation and friends have asked me for Dr. Chong’s phone number for a consultation” -Lupe C. (Patient from Healthgrades)

If you have traveled to Newport Beach to work exclusively with Dr. Lavinia Chong to correct your case of symmastia, it may be recommended that you stay nearby while you recover. You will be seen by Dr. Chong and a member of her staff the day immediately following surgery. Please inquire with our Practice Administrator about local recovery facilities, hotel options, and in-room nursing care if you are needing assistance beyond that of friends and family the evening following your surgery.

What should you do if you suspect you have a case of Symmastia?

If you think you have symmastia, or that your breast augmentation has resulted in your breasts being unnaturally close together, it is advised that you follow up immediately with your original surgeon. If you would prefer to meet with Dr. Chong to discuss options surrounding a capsulotomy, capsulectomy, or capsulorrhaphy as a means to repair symmastia, we advise calling to schedule as soon as possible. As a female plastic surgeon in Newport Beach specializing in breast procedures, her services are in high demand and appointment slots fill quickly.


Schedule a Consultation Today! Newport Beach is a popular beach destination located in Southern California’s Orange County. Whether you live in Orange County, neighboring Los Angeles or San Diego County, or are traveling from out of state you should recognize that symmastia is a rare complication of a breast augmentation. Not all plastic surgeons have focused on developing their revisional breast skills and therefore may not be adequately prepared to repair this rarely occurring breast augmentation complication. Dr. Chong, however, is among the top class of plastic surgeons for breast revisions.

To schedule your consultation with Dr. Lavinia Chong, call her Newport Beach office at (949) 644-1400 today!