Will HP Breast Implants Help with Pigeon Chest?

During a consultation, I was told I have Pectus Carinatum (pigeon chest). Presently, I am 34C, and considering breast augmentation (I had a breast lift done 1 year ago). My breast are not extremely small, but from a side/profile view, I look almost flat chested in many outfits.

I have very little upper pole projection, which is exaggerated by my sternum's forward protrusion. Would high profile implants be a good choice due to my condition? I don't want ball-looking stripper breasts. I'd prefer a natural-looking breasts with more forward projection.

Doctor Answers 11

HP breast implants in pigeon chest

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Would high profile implants be a good choice due to my condition? - Either HP(gel or saline) or the Mentor Moderate Plus (saline) would give you the projection and fill you desire.

I don't want ball-looking stripper breasts. I'd prefer a natural-looking breasts with more forward projection.- "The Ball" typically is due to subglandular (under the breast) implant placement without sufficient breast cover and affected by capsular contracture. Although capsular contracture cannot be RELIABLY prevented I would urge you to pick an implant that CAN be covered by your present breast diameter - that would maximize your chances for a great result.

I hope this was helpful.

Memphis Plastic Surgeon

Will HP Breast Implants Help with Pigeon Chest?

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Thank you for the question and picture. Yes, breast augmentation surgery may be a great way to help camouflage chest wall concerns/asymmetry.  In other words, with a well executed procedure (carefully positioned  breast implant "pocket" and careful selection of breast implant size/profile), the area of "protruding bone" will likely be covered nicely (you will find a representative case on a recent review posted to our profile: "pectus carinatum coverup").  

Generally speaking, the best online advice I can give to ladies who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals. 

In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of words such as “natural” or "C or D cup" etc means different things to different people and therefore prove unhelpful.

Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate. Again, the use of computer imaging has been very helpful during the communication process, in our practice.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery, after the use of temporary intraoperative sizers.

I hope this (and the attached link, dedicated to breast augmentation surgery concerns) helps. Best wishes for an outcome that you will be very pleased with.

Natural appearing breast augmentation with medial/superior fill

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Unfortunately the most commonly used type of implants (high profile) and the most common type of placement ( submuscular/dual plane) cannot deliver the natural 'tear drop' effect or cleavage that you desire.  Leaving the origination of the pectoralis major medially intact in submuscular placement ensures that the implant cannot be medial enough to look natural, and a flat plateau is left centrally.  There are also big problems associated with anatomic implants placed in conventional planes( they work well in subfascial carefully designed pockets).  This is why I use a very unique methof of breast augmentation that I call 'cold-subfascial augmantation.'  the placement of the implants is not 'above the muscle' or subglandular, nor is it submuscular or dual plane.  A very strong layer of connective tissue is meticulously and atraumatically dissected from the pectoralis major muscle and this tissue is used to shape and support a lower profile implant into a gentle tear drop shape.  It is the surgical dissection and not the implant itself that gives shape to the breasts.  The results sit like natural breasts and do not move like submuscular implants do with arm motion.  The fascia also supports the implant giving it relative protection from gravity and aging.  
All the best,
Rian A. Maercks M.D.

Breast Implant Profile

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A high profile implant with produce nice projection at the expense of width. It will also not make your breasts very natural. A natural breasts has a gentle slope in the upper pole and a HP implant will not be very gentle.

I would measure your base diameter and decide on the volume and take it from there. A moderate plus silicone implant may be a better choice. You also have some bottoming out of your breasts which may benefit from an inframammary mastopexy, which would shorten the distance between the NAC and the crease.

Good luck.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 88 reviews

Breast implants in an individual with a pigeon chest.

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In my experience, over time the breast implants will tend to "slide down" your chest especially when laying down which will worsen your cleavage and make them appear further apart. I have included a link below which illustrates this. Scroll to the "pigen chest". To minimize this tendency you may want to consider moderate plus rather than high profile. Furthermore textured implants may have a lower tendency to move in comparison to smooth implants.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

For upper pole fullness you need implants and high profile will do great.

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It seems to me that you have a little bottoming out of your breast so I would recommend that you have textured silicone gel implants under your breasts. I would prefer high profile but some others prefer moderate plus. I would also consider shortening the distance from the crease to the nipple is it is too long.

Carl W. "Rick" Lentz III, MD
Orlando Plastic Surgeon
5.0 out of 5 stars 17 reviews

Breast implants and pectus carinatum

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You seem to have a very nice result from your breast lift. If you want more fullness, then you definitely need implants.  It may camouflage the prominent sternum.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Breast implants for pigeon chest.

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1) You have had a good breast lift.

2) You will definitely look better with implants. My first impression is that you would do better with moderate PLUS profile breast implants rather than high profile, but this depends on careful measurements. Also disposable implant SIZERS should be used during surgery to help make final decision.

3) It is your surgeon's responsibility (not yours) to pick the right implants. See link below.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon

Many patients elect breast implants after a lift.

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One down side to a breast lift is the difficulty in maintaining upper pole projection. Adding an implant is an option that many patients seek. In my practice, I have found that long term upper pole projection is better maintained with a high profile implant. I have used moderate profile implants and they seem to collect their fullness in the lower pole, giving someone larger breasts that still look flat from the side. I don't think that high profile has to be equated with unnatural look. Make sure you review size, diameter, and expectations carefully with your surgeon. I think you are an excellent candidate.

Francisco Canales, MD
Santa Rosa Plastic Surgeon
5.0 out of 5 stars 35 reviews

Breast implants for pigeon chest

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First of all, your lift has given you a nice and symmetrical shape and result. You have a very minor amount of outward displacement of the chest wall and could use any profile of implant and get a nice result. The HP will look the least natural with the greatest degree of upper pole fullness. You might do perfectly well with a moderate profile and be able to use garments to accentuate the result at your discretion.

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.