Biswajit Mishra1, Annada Prasad Pattnaik2
BACKGROUND: Symmastia is defined as medial confluence of the breast. The term 'symmastia' is modified from Greek (sym meaning 'together', and mastos meaning 'breast') and was first presented by Spence et al. in 1983. Two forms of symmastia exist: congenital and acquired form. Congenital symmastia is a rare condition in which web-like soft tissue traverses the sternum to connect the breasts medially. There is few publication of this condition. Treatment options for this condition are also few.
MATERIAL AND METHOD: Though Periareolar approach, and vertical reduction mammoplasty has been described as a method to reduce the size of the breast as well as correct symmastia. We used z plasty in our case because the patient was not willing for reduction of the size of the breast.
RESULT: The patient had well defined midline groove, symmetric breast on each side.
CONCLUSION: Z plasty can be an innovative method for creation of midline groove in congenital symmastia in patients of low socioeconomic status as an alternative to reduction mammoplasty and liposuction.