What can be done to fix breast augmentation with pectus carinatum? (Photo)

Question

What can be done to fix breast augmentation with pectus carinatum? 33F w/ pectus carinatum. Had breast augmentation '13 with cohesive silicone 400cc and 450cc. Capsular contracture in L breast. Double-bubble in R breast. L breast 1in higher than R. Breasts have substantially spread apart. I cannot wear bras properly because of how far out the sternum protrudes. What BA techniques are out there for someone with pectus carinatum? I'm not looking to have surgery on the sternu. Just looking to have

Donald R. Revis Jr, MD · Answer

Good morning,
On your left side you need a capsulectomy to remove the scar tissue. I would also recommend a donut mastopexy because as we give you better cleavage and narrow the gap your nipples will seem even more laterally positioned. I would also recommend the Original Internal Bra on your right side to correct your lateral displacement and double bubble. This is my strong permanent internal suturing technique which corrects bottoming out, double bubbles and lateral displacement. This will make your implants sit the same, narrow the gap, and improve your symmetry.

Daniel Barrett, MD · Answer

Dear GirlX,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Unless the sternum is changed so it does not protrude as much, it will stay this way regardless of what implant is used. The implants cannot get over the bone, especially when it protrudes.  Implants placed in front of the muscle do have a little more room to move over the bone than those behind the muscle.  Smaller implants work better than large.

What can be done to fix breast augmentation with pectus carinatum? (Photo)

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Everything you need to know about Breast Implant Revision

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What can be done to fix breast augmentation with pectus carinatum? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Breast Implant Revision

Our mission is to create a world where every investment in modern beauty is Worth It.