I Am a Female with Pectus Excavatum and I Have a Breast Size Difference - What Can I Do?

it is very noticeable B vs. DDD cup and i have worn a silicone prosthesis for 5 years and i can't seem to find a doctor to do the surgery and my health plan wont help. either i feel inadequate as a young woman and want at least the breast asymmetry fixed help what can i do

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asymmetry pectus excavatum

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13 Doctor Answers | Asked by Orlando739 in Orlando, FL

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Pectus Excavatun and Breast Asymmetry

Several issues you raise in your question. First, the chest wall pectus excavatum. If you option to have this corrected, this usually entails a very involved procedure that will warrant the expertise of a thoracic surgeon. With respect to your breast asymmetry, as my colleagues have stated, without a physicial exam, it is impossible to provide recommendations. However, the good news is that you likely have options to achieve better symmetry with... more

Pectus Excavatum and Breast Augmentation?

Thank you for the question. I think you may do well with a breast augmentation procedure on one side and a reduction on the other side. A variety of options are possible depending on your physical exam. Generally for patients with pectus excavatum I suggest sub muscular ( dual plane) silicone gel breast implants. I have found that, for patients with pectus excavatum, the use of different size and/or profile silicone gel implants greatly improve symmetry and... more

Pectus Excavatum, Breast asymmetry and insurance coverage.

There are two issues here. One is the technical procedure and the second is the financial/insurance issues. I would also add that in addtion to the options mentioned here, the use of fat injection has provided another alternative to breast enlargement and partial pectus correction. When it comes to insurance issues, the physicians fee is only a portion of the bill and even if the professional fee werer waived, operating room, nursing staff, anesthesia , supplies and costs of implants... more

Otto Joseph Placik, MD

33 reviews

Chicago Plastic Surgeon

Breast Asymmetry

Without pictures, it is impossible to give you specific advice. However, it is likely that your symmetry can be greatly improved with a combination of a reduction on the larger side and an implant on the smaller side. You should be able to find some highly qualified, board-certified plastic surgeons in your area. Good luck.

Pectus excavatum and breast asymmetry

The breast asymmetry possibly can be fixed. As for the pectus excavatum it is often a very involved procedure requiring a thoacic surgeon to reconstruct the chest wall.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Treatment of Breast Asymmetry in Pectus Excavatum

Without a picture, it is hard to say exactly what you need. However, from your description, you need a reduction on the DDD side and probably an augmentation on the other (perhaps preceded with a tissue expander). While most consider this to be reconstructive, your insurance company may not pay for it. If they do allow it, it will have to be coded properly. If they do not cover it, you can still pay for it yourself.

Pectus excavatum with breast asymmetry

The issues are significant breast asymmetry and the pectus excavatum (PE-a central indentation of the chest). Without a documented functional deficit such as cardiopulmonary compromise no surgical treatment for either issue would be covered by health insurance. In milder cases of PE surgery on the breasts can mask the central indentation of the chest. This can be reduction, lifting and/or augmentation. In more severe cases the breast surgery will not mask or camouflage the indent.... more

Pectus Excavatum

You need a reduction on the DDD side and a reconstructive implant/expander on the B side. A photo would have been helpful. From MIAMI Dr. Darryl J. Blinski

Breast reduction for asymmetry

Reduction of the larger breast is a good option when in a DDD-cup on the larger side. Though when considering the B-cup on the opposite side a breast implant becomes attractive to balance the result. You may consider an appeal to your health plan, or choose another if you can for we think coverage may be possible, at least based on the Chicago experience. Pectus repair with a solid implant may improve your chest contour and result, I am certain there is a good plastic surgeon in Orlando... more

Breast asymmetry and pectus deformity

The correction that would be required could be as simple as implant placement to more complex procedures that may require several operations on both breasts. It is impossible to give you all the options without seeing you but a plastic surgeon should be able to go over all the options with you.