Case Studies for Male Pectus Excavatum Cosmetic Surgical Procedure in Male Patients


Pectus excavatum, also known as funnel chest is a malformation of the anterior chest wall in which the ribs and the sternum are depressed or sunken-in. PE is the most common congenital deformity and occurs in 1 to 2% of the population with males being more prominent.

Chest wall disfiguration attributable to pectus excavatum is an aesthetically and sometimes functionally debilitating deformity requiring surgical modification. That is where Dr. Pousti comes in. Dr. Tom Pousti is double board certified in General Surgery as well as Plastic and Reconstructive Surgery and has 20+ years of extensive medical and surgical training. With his passion and impeccable skills patients fly in from around the world to have procedures done.

A 26 year old male from Ontario came to Dr. Pousti for a surgery to correct his chest wall deformity. After many years of the patient being unhappy with the appearance of his chest, he chose to have a consultation. After discussing the diagnosis and treatment options with Dr. Pousti the patient decided to move forward with surgery.

Prior to surgery the patient will have an office visit in which a custom moulage will be taken of the depressed area. The moulage kit is designed to create a pattern of the patient's defect out of a plaster material. The moulage is then sent to the manufacturer to be constructed into a custom sterile silicone implant. These implants are designed to give a natural look/feel. Upon completion the patient is ready to have surgery.

On the day of surgery the patient will be marked in an upright position and the depressed will be displayed. At that point Dr. Pousti will discuss the procedure in detail with the patient. After all goals are discussed the procedure is ready to be performed.

A small chest wall incision is made to approach the pectoralis muscle. A sub pectoral space is created using blunt dissection. The medial borders of the pectoralis muscle is then divided using careful dissection.

Dr. Pousti does his final measurements to ensure that the pectoral implant will achieve chest symmetry as best as possible. Careful visualization and manual manipulation of the implant was then carried out to ensure correct placement of the implant. That patient is placed in the upright position several times to check for correct orientation of the implant.

The patient is now five years post-surgery and is very pleased with his results.

A 24-year old patient from Texas had Pectus Excavatum surgery in 1992 performed by another surgeon. The patient was unhappy with the appearance of his chest from the results of his previous surgery. The patient expressed, he was uncomfortable with and without a shirt on. The patient researched for an experienced Board Certified Plastic and Reconstructive Surgeon to perform his surgery and from reading many excellent reviews of Dr. Pousti’s work, the patient found Dr. Pousti on the Internet. The patient and his mother flew into San Diego to meet with Dr. Pousti and scheduled for surgery immediately. The patient is now three years post-op and is very happy with his results.

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San Diego Plastic Surgeon