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Pectus excavatum: implants and/or Nuss procedure? (Photo)

I
ilovedubby1Jan 20, 2022

23 y.o. F 5’8”; 125 lbs I realize this may not be a strictly plastic surgery issue. My PEX has never been formally evaluated so I don’t know the severity (how severe based on CXR?), but I do believe that I have mild sx’s. I’ve been told not to do the Nuss surgery by a cardiothoracic surgeon unless sx’s are severe bc of the painful recovery. I’d love to get implants to mask the defect and improve the appearance of my breasts but worried sx’s +posture would worsen. Advice and recommendations?

Answers (5)

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Dr. Finny George, MD
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Dr. Finny George, MD
Board Certified Plastic Surgeon
4.9 | 270 Reviews
Answered on Jan 24, 2022
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Dr. Donald R. Revis Jr, MD
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Dr. Donald R. Revis Jr, MD
Board Certified Plastic Surgeon
4.6 | 263 Reviews
Answered on Feb 1, 2022
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Dr. Daniel Barrett, MD
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Dr. Daniel Barrett, MD
Board Certified Plastic Surgeon
4.8 | 184 Reviews
Answered on Jan 24, 2022
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Dr. Connie Hiers, MD, FACS
Dr. Connie Hiers, MD, FACS
Board Certified Plastic Surgeon
Answered on Jan 31, 2022
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Dr. Jose A. Munoz, MD - Account Suspended
Dr. Jose A. Munoz, MD - Account Suspended
Board Certified Plastic Surgeon
Answered on Jan 27, 2022
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Leila Kasrai, MD, FRCSC

Your nipples seem to be located below your breast fold and pointing slightly downward, therefore a breast lift would most likely be recommended. This can be performed at the same time as your breast augmentation. As for size, more measurements would be needed to give you a range. During your...

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Chul Hwan Seul, MD, PhD

Thank you for your question. Considering your breast ptosis condition and areolar size, crescent mastopexy is not likely to be suitable. I recommend periareolar (donut) mastopexy with implant augmentation. Scars remain around the areola after surgery. Although periareolar incision can be used...

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Leila Kasrai, MD, FRCSC

If you’d like to reduce the size of your breasts, you can just get a lift. Excess tissue can be removed from the larger breast in order to match the size of the smaller one. Implants would not be necessary. The procedure can be in a single phase.

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Gary M. Horndeski, MD

At size 32, each 100 cc of implant corresponds to 1 cup size change. 200 cc implants would take you from a B to a D. 500-550 cc implants are much too large, will not fit submuscular and will descend inferior and laterally. Best Wishes, Gary Horndeski, M.D.

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Wayne I. Yamahata, MD

Yes, your breasts will look "perkier" after a breast lift. You would lose some volume. If you had a desire to maintain or increase your volume, breast implants can be added.

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Chul Hwan Seul, MD, PhD

Thank you for your question. I have two recommendations for solving your problem: Recommendation 1 : Adhesiolysis (rigotomy) with fat grafting on the lower poles. Your Areolar scars can be improved by scar revision. Tethering caused by adhesions can be improved significantly by adhesiolysis...

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