Table of contents

• What is Symmastia? Defining the "Uniboob"
• Revision Breast Surgery: Correcting Symmastia
• Best Clinics in Korea for Symmastia
• Navigating Revision Breast Surgery in South Korea: A Medical Tourist's Guide
• Costs of Revision Breast Surgery: South Korea vs. Global Destinations
• Patient Journeys: Addressing Symmastia Through Revision Surgery
• Conclusion: Making an Informed Decision
• References

Dealing with breast aesthetic concerns like symmastia can be challenging and emotional. This guide aims to clarify what symmastia is, explain how [revision breast surgery](/blog/revision-breast-surgery-korea) can correct it, and offer practical advice—especially for those considering treatment as medical tourists in South Korea. Our goal is to provide clear, compassionate, and useful information to help you regain confidence and well-being.

What is Symmastia? Defining the "Uniboob"

Symmastia occurs when the breast tissue from both breasts merges across the chest’s midline, eliminating the natural cleavage. Instead of a clear separation, there’s a continuous layer of skin, fat, and tissue, creating the appearance that the breasts join in the center. The severity varies, with some cases showing subtle loss of cleavage. After breast augmentation, symmastia is often called "uniboob" or "breadloafing."

Causes of Symmastia: Congenital vs. Acquired (Iatrogenic)

Symmastia appears in two main forms:

• Congenital Symmastia: A very rare condition present from birth, affecting fewer than 200,000 women. Its cause isn’t fully understood but may involve genetic factors and abnormal collagen arrangement, leading to webbing or fusion of breast tissue across the midline.

• Acquired (Iatrogenic) Symmastia: More common than congenital, this usually develops after breast reconstruction or augmentation surgery. It can appear immediately or gradually over weeks, months, or years.

Surgical Factors

• Implants Too Close or Too Large: Implants that are too wide for the chest can push tissues together, erasing cleavage.
• Over-dissection of Tissue/Pockets: Excessive dissection near the sternum weakens medial breast tissue, allowing implants to migrate toward the center.
• Disruption of Midline Sternal Fascia: Damage to connective tissue along the sternum can cause loss of breast separation.
• Implant Placement Plane: Subpectoral (under the muscle) breast augmentation is the most common risk factor. Over-dissection or muscle forces can detach the pectoralis major muscle from the sternum, leading to symmastia.

Patient-Specific Factors

• Weak or Thin Breast Tissue: Insufficient tissue support can allow implants to shift.
• Natural Anatomy: A narrow sternum or wide chest wall may predispose to symmastia.
• Previous Surgeries: Multiple breast surgeries can weaken tissue quality.
• Aging, Lack of Exercise, Poor Nutrition: These can degrade muscle and connective tissue strength over time.

Symptoms and Impact on Patient Well-being

Symmastia mainly affects appearance, often causing low confidence and difficulty finding flattering clothes. Psychological distress is usually the biggest concern, though some experience soreness or discomfort from pressure on tissues and nerves. In rare severe cases, breathing difficulties may occur. Diagnosis involves a physical exam and sometimes imaging like MRI or CT scans.

Revision Breast Surgery: Correcting Symmastia

Revision breast surgery is the main treatment to restore natural breast separation and improve appearance. It’s highly customized, so consulting a specialist with experience in breast revision is essential.

Surgical Techniques for Correction

• Capsulorrhaphy and Capsulectomy:

  • Capsulorrhaphy tightens the implant capsule with internal sutures to keep implants in place.
  • Capsulectomy removes or releases tight scar tissue if capsular contracture is present.

• Internal Bra Technique / Acellular Dermal Matrix (ADM) Reinforcement:

  • Uses surgical mesh or biologic grafts like ADM to create internal support, especially helpful when tissue is weak.

• Implant Adjustment (Size, Type, Plane Change):

  • Smaller implants may reduce tissue tension.
  • Switching implant types (e.g., saline to silicone) can be beneficial.
  • Changing implant placement from submuscular to subglandular (above the muscle) during revision can protect repaired muscles and improve stability.

• Muscle and Fascia Reattachment:

  • Reattaching the pectoralis major muscle to the sternum and suturing connective tissue helps restore separation. This requires immobilization for 4-6 weeks.

• Liposuction (for Congenital Cases):

  • Removing excess tissue via liposuction, attaching skin to the breastbone, and applying compression can correct congenital symmastia.

Procedure and Recovery Expectations

Recovery depends on surgery complexity. Patients receive detailed care instructions, including wearing supportive garments and limiting arm movement for 1-3 months to allow healing. Strict adherence to post-op protocols is crucial for success.

Best Clinics in Korea for Symmastia

Listed below are the best clinics in Korea for symmastia:

Clinic Name	Key Features	Special Techniques
Okay Plastic Surgery Clinic	Premier destination for complex breast cases including symmastia; State-of-the-art Breast Center; Led by Dr. Cho, renowned breast specialist; Focus on thorough aftercare and natural, lasting results; Multidisciplinary team and holistic, personalized care; Evidence-based, innovative treatments backed by research; Comfort, privacy, safety, and satisfaction in patient facilities; Access to comprehensive aesthetic services	Advanced corrective breast surgery techniques for symmastia; Specialized in complex breast augmentation and reduction; Procedures including nipple correction, breast lift, and challenging revision surgeries; Emphasis on natural results with long-term follow-up
THEPLUS Plastic Surgery	Leading team of board-certified surgeons (Dr. Lee, Dr. Kim, Dr. Jeong); Dr. Lee: breast augmentation, tenure at Seoul National University Hospital; Dr. Kim: expert in 3D implants, facial harmony, international educator; Dr. Jeong: President of Korean Society of Plastic Surgeons; Four state-of-the-art Gangnam floors for full-spectrum care; Clinicians and researchers contributing to global knowledge; Personalized consultations and communication; High safety, comprehensive aftercare, patient satisfaction as values	Advanced breast correction for symmastia and complex cases; 3D implant expertise; Facial/rhinoplasty contouring as part of holistic enhancement; Combination of functional and aesthetic surgical approaches; Continuous adoption of latest research and surgical innovations
Seojin Plastic Surgery Clinic	Award-winning, No.1 KBS N Korea Broadcasting Brand Awards; Dr. Lee Hyeong-Min: One of Korea’s Top 100 Good Doctors; Over 2,300 successful breast surgeries including complex corrections; Active in major global academic conferences; 3D implant modeling and free trial bra service; Personalized, single-doctor continuity of care; Full range of services - body, face, dermatology	Microscale Dual Plane Technique for tailored corrections; 3D spatial dissection for natural pocket creation; Sizer use for intraoperative precision; Scarless sagging correction with latest implant options; Hybrid augmentation with autologous fat grafting and PRP; Innovative symmastia repair for natural separation and symmetry

Okay Plastic Surgery Clinic

Okay Plastic Surgery Clinic stands out as a premier destination for those seeking expert solutions to breast-related concerns, including complex conditions like symmastia. Located in the heart of Korea, the clinic operates a state-of-the-art Breast Center dedicated to advanced procedures such as breast reduction, breast lift, and nipple correction. At the helm is Dr. Cho, a renowned specialist in breast surgery, recognized for both clinical expertise and a commitment to ongoing research. Dr. Cho's exceptional ability to manage even the most complicated cases—such as severe symmastia that require significant correction—distinguishes Okay Plastic Surgery Clinic from other facilities, many of which may not possess the necessary skill set or experience. The clinic places strong emphasis on thorough aftercare and natural, lasting results, offering patients peace of mind from the initial consultation through to long-term follow-up.

Why Okay Plastic Surgery Clinic is the best choice for Symmastia:

• Dedicated Breast Center with experience in corrective surgeries, including complex symmastia cases.
• Led by Dr. Cho, a breast surgery expert known for both academic contributions and hands-on excellence in challenging procedures.
• Specialized in both standard and advanced breast augmentation and reduction techniques.
• Offers comprehensive aftercare focused on achieving natural, enduring results.
• Multidisciplinary team and holistic approach ensure each patient receives personalized care tailored to their needs.
• Innovative, evidence-based treatments supported by ongoing clinical research and specialized surgical skills.
• Comfortable and private facilities that prioritize patient safety, confidentiality, and satisfaction.
• Access to complementary aesthetic services for comprehensive beauty and wellness.

You can check out their website here: Okay Plastic Surgery Clinic Website

THEPLUS Plastic Surgery

THE PLUS Plastic Surgery stands out as Korea’s premier clinic for treating symmastia, offering exceptional expertise and comprehensive care through its renowned team of board-certified plastic surgeons. With Dr. Lee’s extensive background in breast augmentation and her tenure at top institutions such as Seoul National University Hospital, patients benefit from her commitment to natural, long-lasting results and active participation in Korea’s leading plastic surgery societies. Alongside Dr. Lee, Dr. Kim—an internationally recognized expert in 3D implants, rhinoplasty, and facial contouring—brings a research-driven approach that prioritizes facial harmony and the enhancement of one’s natural beauty, while frequently educating other surgeons around the world. Dr. Jeong, as President of the Korean Society of Plastic Surgeons, is at the forefront of combining function and aesthetics in surgical practice, influencing the international plastic surgery community with his educational leadership. The clinic itself encompasses four state-of-the-art floors in Gangnam’s Garosu-gil, meticulously designed to offer end-to-end care from consultation through surgery to postoperative recovery. The surgeons at THE PLUS are not only accomplished clinicians but also respected researchers, contributing to medical literature and participating in global symposiums to continuously elevate their skills. With safety, individualized communication, and patient satisfaction as foundational values, THE PLUS Plastic Surgery delivers outstanding results for complex cases like symmastia, making it the top choice for patients seeking reliable, advanced breast surgery correction in Korea.

You can check out their website here: THEPLUS Plastic Surgery Website

Seojin Plastic Surgery Clinic

Seojin Plastic Surgery Clinic, located in the heart of Gangnam, Seoul, stands at the forefront of cosmetic excellence, providing patients with the most innovative and personalized care in Korea. Guided by renowned surgeon Dr. Lee Hyeong-Min—one of Korea’s Top 100 Good Doctors—Seojin Clinic has distinguished itself as a leader in advanced surgical techniques, especially in the area of breast surgery and corrective procedures like symmastia repair. With a reputation built on surgical precision, cutting-edge technology, and a commitment to individualized care, Seojin Clinic has become a trusted destination for patients seeking superior results and dependable safety.

Why Seojin Plastic Surgery Clinic Is the Best Choice for Symmastia Correction:

• Award-Winning Excellence:

  • Ranked No. 1 in the Breast Augmentation Category at the KBS N Korea Broadcasting Brand Awards.
  • Dr. Lee Hyeong-Min selected among Korea's Top 100 Good Doctors in 2022 for his exceptional skill and dedication.

• Unmatched Experience & Expertise:

  • Over 2,300 successful breast surgeries performed, including complex cases requiring advanced correction like symmastia repair.
  • Active participation in leading academic conferences (Motiva, Mentor) ensures Dr. Lee stays at the forefront of implant technology and surgical innovation.

• Advanced Diagnostic & Surgical Technology:

  • 3D breast implant modeling technology enables patients to visualize outcomes using a range of implant brands and styles.
  • Free breast implant trial bra service allows patients to preview results and choose the best fit before surgery.

• Specialized Surgical Techniques for Symmastia:

  • Microscale Dual Plane Technique for customized, anatomy-based corrections that ensure natural separation, shape, and symmetry.
  • 3D spatial dissection technique to craft a smooth implant pocket and minimize swelling, crucial for optimal symmastia repair.
  • Use of sizers during surgery to achieve precise symmetry and contour before final implant placement.
  • Sagging correction without traditional lift surgery, eliminating additional scars while correcting breast contour using advanced implant options like Mentor Boost.

• Innovative Combined Approaches:

  • Hybrid breast augmentation combines implants with autologous fat grafting (harvested from the thighs or abdomen), enhancing softness and achieving the most natural look and feel.
  • Incorporation of PRP in fat grafting increases graft survival and reduces the risk of inflammation, vital for successful recovery after symmastia correction.

• Personalized, Continuity of Care:

  • As a one-doctor clinic, Dr. Lee personally manages all consultations, surgeries, and follow-up care, ensuring patients receive attentive, customized service from start to finish.

• Comprehensive and State-of-the-Art Services:

  • Wide range of services including body contouring, non-invasive facial rejuvenation, microblading, dermatology, and more—making it a one-stop destination for aesthetic needs.

Seojin Plastic Surgery Clinic blends advanced science, artistic skill, and true dedication to patient care, making it the premier choice for individuals seeking symmastia correction and comprehensive aesthetic enhancement in Korea.

You can check out their website here: Seojin Plastic Surgery Clinic Website

Navigating Revision Breast Surgery in South Korea: A Medical Tourist's Guide

Why South Korea is a Leading Destination for Cosmetic Surgery

South Korea is a top choice for medical tourists seeking cosmetic surgery due to advanced technology, skilled surgeons, and competitive prices. Seoul’s Gangnam district is Asia’s cosmetic surgery hub, known for surgeons who emphasize aesthetic harmony.

The Process of Getting Surgery in South Korea

• Initial Online Consultation: Free virtual consultations help assess needs and plan procedures.
• Travel and Accommodation: Clinics assist with travel and lodging arrangements near surgery centers.
• Pre-Surgical Consultation and Tests: In-person exams and tests finalize plans; translators ensure clear communication.
• Surgery Day: Patients stay under observation for 24 hours in comfortable facilities.
• Post-Operative Care: Follow-ups and wound care are thorough; patients usually stay 1-2 weeks for recovery.
• Medical Tourism Agencies: Agencies like Shin Medical and 365 Agency provide bilingual support, appointment booking, transportation, and 24/7 assistance, making the process smoother and safer.

Essential Tips for Foreign Patients

• Understand Korean beauty standards and communicate preferences clearly.
• Choose clinics with global accreditation and verified patient testimonials.
• Use digital tools like 3D modeling to visualize results.
• Ensure language support throughout the process.
• Discuss risks, scarring, and revision policies upfront.
• Prepare physically and mentally before surgery, including diet and medication management.
• Stay near the hospital during recovery and avoid busy holiday periods.
• Plan for an extended stay to allow proper healing and follow-up.

Costs of Revision Breast Surgery: South Korea vs. Global Destinations

Cost Ranges in South Korea

Revision breast surgery in South Korea typically costs between ₩13,000,000 and ₩22,000,000 KRW (~$8,944 to $15,136 USD). Some sources report wider ranges, highlighting the need for direct quotes.

What’s Included in Korean Surgical Packages

Packages often cover surgery fees, pre-op tests, overnight stays, and post-op care. Some include accommodation and transfers. A 10% deposit usually secures the procedure.

Comparative Costs by Country (USD)

Country	Procedure Type	Cost Range (USD)	Typical Inclusions/Considerations
USA	Breast Augmentation	$10,000 - $12,000	Surgeon, facility, anesthesia, meds, garments, tests
	Revision Breast Surgery	$28,200 - $170,000	Highly variable based on complexity
South Korea	Revision Breast Surgery	$8,944 - $15,136	Surgery, pre-op tests, overnight stays, post-op care
	Breast Implants (general)	$3,000 - $10,900	Varies by surgeon and technique
Thailand	Breast Implants (general)	$3,500 (2021 data)
	Revision Breast Surgery	$4,200 - $17,200
Turkey	Breast Augmentation	$5,500 - $6,000	Often includes tests, post-op care, accommodation, transport
	Revision Breast Surgery	$4,800 - $17,200
United Kingdom	Breast Augmentation	$10,000 - $12,000	High-quality care; often excludes accommodation/post-op care
Europe (General)	Breast Augmentation	$8,500 - $9,500	Competitive pricing; often excludes travel and accommodation
Malaysia	Revision Breast Surgery	$8,000 - $13,500	Includes insurance, tests, accommodation, transfers

Factors Influencing Cost

• Surgery complexity
• Surgeon’s expertise
• Clinic location and facilities
• Implant type and size
• Anesthesia and operating room fees
• Pre- and post-operative care extent

Financial Considerations for Medical Tourists

While South Korea offers advanced care at competitive prices, total costs include flights, accommodation for recovery (1-2 weeks or more), daily expenses, and insurance. Transparent, itemized quotes are essential. Medical tourism agencies can assist with pricing clarity and negotiating benefits. South Korea balances technology, surgeon skill, and patient support, though other countries may offer lower starting prices.

Patient Journeys: Addressing Symmastia Through Revision Surgery

Successful revision surgery can dramatically improve breast appearance and boost self-esteem. It also relieves discomfort and corrects implant malposition.

Examples of Successful Symmastia Correction

• Congenital Symmastia (Patient 161750 by Dr. Repta): After being told by 25 surgeons that her condition was unfixable, this patient underwent a specialized procedure involving liposuction, skin reattachment, and compression. Within two weeks, her cleavage and breast shape were restored, showing that even challenging cases can be corrected with expert care.

• Acquired Symmastia and Malposition (Patient by Dr. Repta): A patient with implants that were too wide and "bottoming out" underwent revision with narrower implants, pocket repair (capsulorrhaphy), and a breast lift revision. Six months later, her breast shape and separation were successfully restored, demonstrating how revision surgery can address multiple implant-related issues.

Importance of Choosing an Experienced Surgeon

These cases highlight the need for surgeons with specialized expertise in breast revision. Careful planning considering implant size, placement, anatomy, and tissue quality is key to lasting, optimal results and minimizing complications like symmastia.

Conclusion: Making an Informed Decision

Symmastia, whether congenital or acquired, can be effectively corrected through specialized revision breast surgery involving tailored techniques like pocket repair, implant adjustment, and muscle reattachment. South Korea stands out as a medical tourism destination offering advanced expertise, comprehensive support, and competitive pricing, though total costs include travel and recovery expenses. Successful outcomes improve both appearance and psychological well-being, even in complex cases. The most important step is consulting a board-certified surgeon experienced in symmastia correction, prioritizing safety and comprehensive care over cost alone to ensure the best results.

References

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