Will a breast augmentation help hide my concave chest? (photos)

Question

I have a very small chest, I could never fill out a bra but if I had to guess i would be around a 32aa and I have a indented chest that makes my breasts look even smaller, I plan on hopefully getting around 250-300cc and was just wondering if breast implants would hide the concave. And if since I have a concave if I'm more likely to develop a symmastia?

Tom J. Pousti, MD · Answer

Thank you for the question and pictures.  Based on your photographs, I think that you may be an excellent candidate for breast augmentation surgery. In my experience, breast implants tend to help “camouflage” the concavity, making the cleavage area look deeper. Often times postoperatively is hard to know that the patient initially presented with pectus excavatum. 
Often, patients with pectus excavatum have medially sloped chest walls ( sloped towards the cleavage area); care must be taken during the breast implant pocket dissection to avoid the implants coming together too close in the sternal area.
Also, patients with pectus excavatum may have their nipple/areola complexes relatively medially positioned on their breasts; without intervention this inward leaning appearance of the nipple/areola does not improve with breast augmentation surgery.
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 know 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 would suggest that you meet with well experienced board-certified plastic surgeons; asked to see lots of examples of his/her work.  You may find the attached link, dedicated to breast surgery for patients with pectus excavatum, helpful to you as you learn more.
Best wishes.

Jerome Edelstein, MD · Answer

Hello,Thank you for your question and photos. It is sometimes difficult to know what implants will do to chest wall irregularities. In the hands of an experienced Plastic Surgeon who specialises in this area- you should expect great results that you are happy with. The best way to determine your surgical options and sizes is to meet in person for a consultation. Reasonably sized implants placed sub-pectoral should not put you at an elevated risk for Synmastia. The breast implants which fit you are selected based on your stated goals but also your, specific breast measurements. If you are a petite person it will likely take small volumes to give you a nice, full look. My patients find it helpful to try on the implant sizers in the office with a form-fitting T-shirt, in order to get an idea of what they will look like. All the best

Jane M. Rowley, MD · Answer

You have a mild pectus excavatum, the sternum is a little concave.  Pectus carinatum is when the sternum protrudes outward or is convex.  Breast augmentation will not necessarily hide the deformity and it fact in severe deformities I think it can accentuate problem.  You have such a minimal pectus that I think you will have a nice result with implants.  With submuscular placement and implants in the 300cc range there should be little risk of synmastia. Good luck,  Jane.

Shaun Parson, MD · Answer

Thanks so much for your question.  I have been performing surgery on women for the past 20 years with chest wall concavity issues (pectus excuvatum).  Fortunately, you have a very mild case and an implant would be able to likely completely conceal the issue to you no longer see it.  In fact, at times a small amount of excuvatum can at times improve the over all cleavage appearance so that your final results are better than if you didn't have the issue.  The good news is that, based on your photos, I believe that you are an excellent candidate for a breast augmentation and should expect very nice final results.  Hope this helps.

Jeffrey Nelson, MD · Answer

Your question is a good one and your degree of concavity is mild. You are a superb candidate for breast augmentation. You do have areola that are a bit wide in their position on your chest so be sure to discuss that with your surgeon for if you get too narrow an implant placed too medially it can make your areolas look a bit too wide out on the breast. An appropriate consult with a board certified plastic surgeon will cover those issues and lead to the correct planning and guidance in choosing the correct size and profile of implant for you. Best wishes.

Will a breast augmentation help hide my concave chest? (photos)

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Will a breast augmentation help hide my concave chest? (photos)

Answers (9)

Answer: Will an implant improve the concavity in my chest?

Answer: Will an implant improve the concavity in my chest?

Answer: Chest concavity

Answer: Chest concavity

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Recommended reading

Everything you need to know about Breast Augmentation

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