Hello @perolalars ,
This will take some artistry, but I would approach this by sculpting the stretched middle portion as a separate piece of geometry out from the center and into the end pieces, rather than out from the end pieces. This has the benefit of allowing you to avoid the complication of fusing those connecting strands together in complicated ways. Simply start with the area where those strands are merged, then sculpt out the connecting strands into the end pieces with Snakehook, Sculptris Pro, Smooth and Inflate brushes.
Please forgive the crude approximation:
Once the middle portion is sculpted as desired, fuse it to the end pieces with Dynamesh, Live Boolean, or Remesh by Union, ZRemesher to clean and simplify the mesh, and smooth the transition into the end pieces so it looks more organic.
Good luck!