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.

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.

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