Breast augmentation with pectus excavatum, what does this mean and how will it affect my results?

Thanks for your question! To put it at simply as possible, your chest is simply shaped different than some other women. I would suggest going on the gallery of your surgeon (you can check out mine on my website or here if you'd like). You should be able to see some B&A photos of women with that chest structure. You will likely have tighter cleavage and some implant size limitations. Good luck!

I would definitely make an appointment with a board-eligible or board-certified plastic surgeon. Pectus excavatum is a chest wall deformity in which there is depression or "divot" of the chest wall. This may make implant placement challenging depending on the severity and/or asymmetry of the deformity. A well trained breast surgeon should be able to provide plastic surgery services and appropriately counsel you on your options.

Pectus excavatum is a concavity (depression) of the central chest and ranges in severity from mild to severe. Placing a breast implant along can accentuate this depression. Using a hybrid breast augmentation procedure that combines fat transfer with an implant can be helpful for improving aesthetic results.

Dear Nikkinix79,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

After I measure and discuss goals with my patients, we then look at pictures of women (my patients) with similar measurements with different size and style breast implants, and they choose what looks right for them. They also get to see what they would look like when the breasts have fully dropped and fluffed and in clothes. You get to see actual results and the surgeon's experience and not a virtual idea of what can be achieved. Women tell me that this process is very helpful in determining what size and style breast implant is right for them. Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Dear Nikki,
It would have been helpful to your front and side view pictures. In any event, breasts augmentation is an excellent way to camouflage pectus excavatum, as long as the medial margin of the sub muscular pocket is dissected close to the mid line. The easiest and most predictable approach for achieving it is via sub areola incision that allows direct and clear vision of the cleavage line.
Always, consult with experience board certified plastic surgeons who operate in accredited surgery center for your safety. Most importantly , check the before and after pictures in the photo gallery to make sure that they are numerous, consistent and attractive with nice cleavage, perky, symmetrical and natural looking.
Best of luck,
Dr Widder
widderplasticsurgery.com

Breast augmentation with pectus excavatum refers to a cosmetic surgical procedure where breast implants are placed in the chest of a person who has pectus excavatum, a congenital condition characterized by an inward depression of the breastbone or sternum. This condition can create a sunken or caved-in appearance in the chest.The effects of pectus excavatum on breast augmentation results can vary depending on the severity of the condition and the surgical approach taken. Here are some key points to consider: 1. Surgical Technique: The surgical technique used for breast augmentation in individuals with pectus excavatum may differ from standard breast augmentation procedures. Surgeons may need to make adjustments to ensure proper implant placements and symmetry.2. Implant Type and Size: The choice of implant type and size is crucial in achieving desired results. Surgeons may recommend specific implants that can complement the individual’s anatomy and address the chest’s unique shape.3. Symmetry: Achieving symmetry can be more challenging due to the uneven chest wall caused by pectus excavatum. Surgeons will strive to create a balanced and aesthetically pleasing appearance.4. Scarring: Scarring may differ from typical breast augmentation procedures due to the adjustments made to accommodate the chest wall deformity. Discuss scar placement and appearance with your surgeon.5. Risks: Individuals with pectus excavatum may have a slightly higher risk of complications or asymmetry compared to those without the condition. It’s essential to consult with a skilled and experienced plastic surgeon who has experience in such cases.6. Preoperative Evaluation: A thorough preoperative evaluation is critical to assess the specific needs of the patient and plan the surgery accordingly.Overall, breast augmentation with pectus excavatum can be successful in improving the appearance of the breasts, but it requires careful planning and execution by a skilled surgeon. It’s important to have a detailed consultation with an experienced plastic surgeon to discuss your unique situation and expectations for the procedure.

With your pectus, your breast bone is shaped more curved and tend to bend inward. Breast implants, especially behind the muscle, often makes this less noticeable.

Pectus excavatum refers to the way that the chest is shaped. Typically patients are still able to have a beautiful result from breast augmentation with some potential adjustments for the chest shape. Your surgeon will assist you in selecting the right implant for you.

Pectus excavatum means that your sternum (breast bone) goes inward to some degree. This creates the appearance of deep cleavage. This is often associated with other chest wall or breast asymmetries. The choice of implants and the placement is adjusted in these cases.
Best wishes.
Dr. Taranow.