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

Question

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?

Finny George, MD · Answer

Hi, thank you for sharing your question. If your Cardiothoracic surgeon has advised against surgery at this time, and you are medically cleared to undergo elective surgery, then you should proceed. Discuss this with your board certified plastic surgeon. I have had good outcomes in the setting and I am certain you will be able to meet your goals. I hope this helps.

Donald R. Revis Jr, MD · Answer

Good morning,
Most cases are successfully treated with augmentation alone- but for a proper evaluation you need to post topless pics here as well as any goal or wish pics you may have found!

Daniel Barrett, MD · Answer

Dear ilovedubby1,
it is hard to tell for sure without an examination. Generally speaking, implants can help mask chest deformities. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
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

Implants will not change your pectus deformity and often help hide it especially if placed behind the muscles.  I would suggest meeting with a board certified plastic surgeon to discuss your concerns and options.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!From your radiograph, I note a significant pectus excavatum of the anterior chest wall. It would be extremely advantageous to have photos as well.The Nuss procedure is usually performed on children between the ages of 12-18, after which time it becomes more difficult (up to age 27 after which time fusion of the sternum prevents further manipulation) . If there are is respiratory impairment associated with the pectus excavatum, the procedure will have definite therapeutic benefit. Otherwise, external soft tissue procedures such as breast augmentation or placement of a custom soft tissue prosthetic implant will be far less invasive and provide satisfactory results.Visit a board certified plastic surgeon for evaluation, examination, and discussion.Best wishes...

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

Answers (5)

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