Breast Implants: Q&A
Ask a QuestionChoosing an Implant Size for Someone with Pigeon Chest?
I have pigeon breast, am 5'5" and weigh 110 lbs, I wear size 32C but would like implants to improve the shape of my breast. The first surgeon recommended 400 cc stating that pigoen breast patients need a larger implant, the second surgeon wants to do 240cc which he stated would take me up to a full D cup which would be the max I would want to be. I am concerned since they are recommending very diffent sizes. How do I know what is the right decision?
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17 Doctor Answers |
Asked by
jaclynn
in Kansas City
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Choosing implant size can be tricky
Placing a breast implant to give a patient the look she wants can be tricky. There is always some asymmetry to the breast/chest and everyone's chest cavity is shaped differently.
Pectus carinatum (pigeon breast) is a deformity of the chest wall when the sternum (breast bone) is protruding convex outward.
Pectus excavatum is a deformity of the chest wall with the sternum sunken in or concave in appearance.
Scoliosis is a curve of the spine. Kyphoscolisos is an...
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Breast augmentation surgery results
The outcome of your surgery depends on who performs your surgery. Your situation is different than most patients in that your implants will tend to move to the side; careful and accurate pocket dissection is critical.
It is very important to communicate your size goals with your surgeon. In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural”...
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Choosing implants
Choosing the right implant for you is a lengthy discussion and exam performed by your surgeon. An agreement and rough size range should be discussed with your surgeon.
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Bony chest wall variances impact implant selection
Pectus carinatum otherwise known as "pigeon chest" is a condition in which the breast bone (sternum) articulates with the ribs at a steep angle, which some people liken to the prow (triangular front part) of a sailboat. Not only is the chest wall sharply pitched, often the pectoralis major muscles are relatively short in distribution and the skin brassiere overly elastic. The net result is a bony platform, over which implants can displace laterally, (towards the...
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Try not to commit to strongly so an implant size before surgery
Hi there-
I say this to patients and have said it on this site many times... it is a mistake to commit yourself, or ask your surgeon to absolutely commit to an exact implant volume prior to surgery.
For a healthy perspective on this issue, please read this:
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The size, the size
The appropriate size is selected based on the width of your natural breasts as well as how much breast tissue you have naturally. The width of chest can play a part if the natural breast is unusally small. Here a picture is worth a thousand words.
Dr. ES
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Breast Implants for Pigeon Breast
Pigeon breast or pectus excavatum is when, typically, the lower part or sometimes the whole, sternum is bowed outward. What is interesting with this deformity is what happens to the corresponding ribs. Much of the time the ribs are actually concave or bowed in necessitating larger implants as they need to fill the additional depression.
However, I have seen many different variations on this deformity including very prominent convex or bowed out rib or ribs, convexity on one side...
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Bigger is NOT Always Better when it comes to Breast Implants
Professional Breast Augmentation surgeons are similar to professional Golfers or professional poker players. Although we would love to be able to change the rules on occasion, the facts are that we must play the golf ball where it lands, the poker hand dealt us and must operate on the (pigeon) chest and breasts the patient posses.
A pigeon chest ALREADY means that the plane of the chest is not flat but skewed and that the taller and wider the structure (IE implants) placed on it will lean...
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Breast implants for pigeon chest can improve the shape and contour of breasts
Hello - You do have valid concern for the different size recommendations. It's difficult to give you more advice without a photo, but I would suggest visiting several more surgeons. For my patients, pigeon chests are handled with ordering different sized implants and "sizers." This way, I can use the sizers in the operating room to see what size gives the best aesthetic result with the volume close to what the patient wants. All in all, breast implants can improve the shape,...
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Challenges of a pigeon chest in breast augmentation
The outward angulation of a pigeon chest makes the implants want to tumble toward the armpit so the surgeon needs to not dissect the pockets too far laterally and try to stay as small as possible because the weight of a larger implant will add to the lateral drift. On the other hand, unless the implants are wide enough you won't get anything in the center for cleavage. Not a simple choice.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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