Symmastia is where there is over dissection of the medial part of the implant pocket, essentially joining the right and left breasts in the midline. This can happen in either a subglandular or a dual plane pocket. The correction involves using internal bra techniques where we use the capsule of the breast implant to close off the medial pocket. If the original implant was placed in a subglandular pocket, then I’ll usually change that to a dual plane pocket. Occasionally, we may need other techniques such as using a mesh or reattaching the muscle to reinforce that part of the pocket. Obviously, it’s better to avoid it in the first place if possible.