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Pectus Excavatum and Pec Implants

I am 37 year old male with pectus excavatum. It was described by a pedatric surgeon that I have a 'grand canyon' appearance with slightly flared ribs. I can provide digital pictures. I was told I am not a candidate of nuss procedure and I think it wold be too painful over implants. I am trying to go for a symmetrical appearance. Its noticeable with shirt on or off. Can I expect a good outcome? Also, how will implants affect my running (I do 5k, half and full marathons)?

Doctor Answers (5)

Pec Implants and Pectus Excavatum

+1
As previously stated, Pectoral Implants would tend to accentuate  the mid sternal depression or defect of the pectus excavatum. It sounds like a custom sternal implant would be the most suitable correction, if a surgical correction of the bony sternum is out of the question. In doing the silicone custom implant for the pectus excavatum defect, it is very important to secure the implant to the sternum to prevent the implant from moving or slipping down into the skin creating a visable and palpable edge of the implant. I generally treat smaller pectus excavatum defects with fat grafting, which may require more than one treatment. 


Miami Plastic Surgeon
5.0 out of 5 stars 13 reviews

Toronto Body Implant options for Pectum excavatum with #DrMarcDuPere

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Thank you for your question and YES, body implants could be a solution to your condition.

I have done over 200 pectoral augmentation over the last 7-8 years.  I have also treated several patients with pectus excavatum in Toronto since 2001.  A pectus excavatum is a body depression in the mid-chest that can be symmetrical or asymmetrical.  The options will vary on what I see at the time of the consultation with you.

I have done #fatgrafting with #stemcells in some patients for very small defects.

Other, we fabricated a custom-made implants; patient comes to the office and we prepare a mould of the defect, which is then sent for fabrication, then sterilized then shipped back to Toronto for implantation.  This involves a few visits to #Toronto, Canada.

The other options might be unilateral or bilateral pectoral augmentation with implants, either same implants or different sized implants depending again on your anatomy.

Sometimes, fat grafting is also part of the pectoral implant procedure.

Perfect symmetry is rarely achieved in plastic surgery yet we can get very close to it.  Once fully recovered, patients can return to cardio-vascular physical activity in 2 months and body-builder activities in 3 months.

Good luck in your search and make sure you choose an experienced surgeon as this is not a common procedure learned in plastic surgery residency.

Should you want to come to Toronto, we do offer SKYPE-cam consultation as a first encounter.  Email us some pics.

Best regards,

 

Dr. Marc DuPere, Toronto plastic surgeon

Voted TOP plastic surgery Clinic in Toronto for 2013 and 2014

Voted TOP Cosmetic Clinic in Toronto for 2014

visageclinic.com/patient-resources/media.cfm

 

Marc DuPéré, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 36 reviews

Pectus Excavatum and Pec Implants

+1

Implants over the sternum may be a viable option for a larger defect. Fat grafting can be helpful in smaller defects or in camouflaging the implant.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 192 reviews

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Pectus excavatum

+1
It sounds like you might need a custom implant to help camouflage the depression around the midsection of your chest wall. I have done this procedure for many patients with similar situations and they are happy. Every surgery has potential risks and complications (this one does as well) so find a surgeon who has performed this surgery and who can give you honest advice.

Tom J. Pousti, MD, FACS
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Pectoral Implants not ideal for pectus excavatum

+1

Pectus excavatum is a central sternal deformity, at its deepest, and it tapers out to the sides of the rib cage. Pectoral implants enhance the pectoralis muscle which is not located over the sternum. Building up the outline of the pectoral muscles is likely to make the pectus excavatum deformity look worse as it does not improve the sternal area. You should consider other implant options that can be used directly over the depressed sternum.

Barry L. Eppley, MD, DMD
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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.