Synmastia occurs when breast implants migrate to the center of the chest and cross the midline or when the two breast implant pockets join together. Correction of synmastia is challenging and often requires significant changes to the implant pocket and or change of plane of the mammary prosthesis in order to correctly re-position the breast implants on the chest wall. Often a Wise-pattern mastopexy pattern is necessary to reposition the nipple areola complex on the chest wall. Synmastia correction is occasionally best performed in two or more stages to allow the pocket to heal without additional tension on the repair. Synmastia surgery requires time to heal and requires patience on behalf of both the physician and patient for the ultimate goal to be achieved.