Fat Transfer for Slight Pectus Excavatum?

I have a slight, but very visible, pectus excavatum between the breast. It makes my rib bones even more enhanced and I look bony with a hole in the middle of the chest which I hate. What is the best solution right now? Fat transfer, implants? Thank you so much.

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3 Doctor Answers | Asked by california_girl in glendale, ca

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Implant is best for pectus excavatum

I don’t think that you can improve the pectus excavatum sufficiently with any filler as there would be too much volume needed to make the contour flush with the surrounding skin. Fat cells would die in the center of the implant secondary to a lack of oxygen diffusion traveling through the mass of the fat injection. Too much filler could compromise the skin’s circulation above the implant and the skin could ulcerate causing a bad scar. Contour improvement is accomplished by... more

Best solution for pectus excavatum?

A key principle in Plastic Surgery is to replace tissue with similar tissue whenever possible. The procedure Dr Kasden refers to has the advantage of using your own ribs and sternum, but as he says, it is long and can be risky. It is for me too much of a run for a short slide. Fat grafts are possible, and I do a lot of fat grafting, but the tissue is soft, and the effect would be weird in an area which is usually firm to the touch. Breast Implants can camouflage the defect. The best... more

No "best" Solution

Pectus excavatum is common and occurs in various forms of severity. There are several ways to approach this mostly cosmetic concern. For severe cases, surgery to reach A. the rib cage is performed. This is a very large operation with mixed results. In women, sometimes a breast augmentation is very helpful in camouflage and the defect. With the shape of the ribs the way they are, getting a good result is a bit tricky, but excellent results can be achieved. I am not a fan of fat injection... more