Periareolar approach for the correction of congenital symmastia

Christopher J. Salgado, Samir Mardini

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


This report elucidates the continued and relatively rare problem of congenital symmastia and its surgical repair without concomitant bilateral breast reduction. This case highlights the use of suction-assisted lipectomy techniques to address the excess fat in the presternal web and a periareolar approach for access to the intermammary space. The periareolar incision allows for the use of a concealed approach and the avoidance of a central scar that could result in hypertrophy or keloid formation, especially in this patient who is more prone to hypertrophic scarring. Furthermore, plication of the central web dermis to the sternal periosteum in a more superior position serves to not only correct the symmastia but also redrape the excess skin and restore the blunted inframammary folds.

Original languageEnglish (US)
Pages (from-to)992-994
Number of pages3
JournalPlastic and reconstructive surgery
Issue number3
StatePublished - Mar 1 2004
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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