title: Five-step Correction of Congenital Symmastia.
abstract: Congenital symmastia is distressing and difficult to treat, and traditional surgical modalities have met with limited success. We present a novel approach for a patient that failed all traditional surgical options. The anatomic deformity is analyzed using a modified version of Blondeel's 3-step analysis (conus, footprint, and skin envelope, to which we added a fourth element "intermammary web"). Combining operative principles from breast cancer reconstruction, we describe 5 operative steps that help correct the deformity, followed by a new postoperative splinting regimen that addresses the common pitfalls that could lead to recurrence.
authors: Department of Plastic Surgery, Ohio State University, Columbus, Ohio; and Amjad Plastic and Reconstructive Surgery, Miami, Fla.
authors: Stephen J
authors: SJ
authors: Poteet
authors: Department of Plastic Surgery, Ohio State University, Columbus, Ohio; and Amjad Plastic and Reconstructive Surgery, Miami, Fla.
authors: Amanda
authors: A
authors: Carraher
authors: Department of Plastic Surgery, Ohio State University, Columbus, Ohio; and Amjad Plastic and Reconstructive Surgery, Miami, Fla.
authors: Ibrahim H
authors: IH
authors: Amjad
authors: Department of Plastic Surgery, Ohio State University, Columbus, Ohio; and Amjad Plastic and Reconstructive Surgery, Miami, Fla.
authors: Rajiv
authors: R
authors: Chandawarkar