Will breast implants be a success with my case of pectus carinatum? (Photo)

My breast are currently a size 34B. It is emotionally exhausting looking for swimsuits that will fit and cover the middle of my chest. The right side of my protrudes far more than the left. I really want to consider getting a breast lift in hopes of it covering majority of the protruding bone but I'm really afraid of it not looking the way I would like it to. Any advice would help a lot! Thank you.

Doctor Answers 12

Sternal Deformity

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You should get a nice result using asymmetrically sized and possibly shaped implants to improve your overall breast/chest appearance and to camouflage your sternal irregularity. You are lean, so additional fat grafting might not be available, but would have been helpful too. I have been using shaped, highly cohesive, form stable implants (anatomic shaped gummy bear) for people like yourself with asymmetry to their ribcage. Implant selection with these are based on linear measurements, as opposed to volume. For each side of your chest, a specific height, width, and projection is chosen to fulfill your deficit. All though round smooth devices can do a nice job too, I have found these gummy bear implants better. Go visit a few ABPS certified/ASAPS member surgeons. Best of luck!

Beverly Hills Plastic Surgeon
4.9 out of 5 stars 100 reviews

#Breastimplants #Pectusexcavatum

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Pectus carinatum or excavatum? It looks concave rather than convex. And yes, implants can help but you need a good plastic surgeon comfortable with approximating the cleavage line that uses appropriate width implants.

Daniel Barrett, MD, MHA, MS
Certified, American Board of Plastic Surgery 
Member, Am. Society of Plastic Surgery

Daniel Barrett, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 84 reviews

Implants will make your breasts larger

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and will likely make the defect more pronounced.  Consider filling the hole with fat grafting and once that is established and smoother, then consider implants.  Implants have a tendency to slide towards holes so using textured anatomic implants could be better in your situation.  Discuss your concerns with your chosen surgeon and find out the options available to you.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Breast augmentation with chest deformity

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Pectus carinatum, or pidgeon breast, in a female, can easily be camouflaged with breast augmentation and implants.  Males, obviously, need to have their sternum and ribs reconstructed.   But I have had many female patients with both pectus carinatum and pectus excavatum where breast augmentation is ideal.

Malcolm A. Lesavoy, MD
Beverly Hills Plastic Surgeon
3.9 out of 5 stars 11 reviews

Will breast implants be a success with my case of pectus carinatum?

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You do appear to have a complex pectus deformity which would probably be made less visible and noticeable by placement of breast implants to enhance your breasts.  Avoiding too narrow a diameter implant such as with a high profile implant would be important in my opinion.  My past experience has shown that breast augmentation takes attention away from the sternum area but of course does not eliminate the deformity itself.  Best wishes and enjoy your results.

Jon A Perlman M.D., FACS
Diplomate, American Board of Plastic Surgery
Member, American Society for Aesthetic Plastic Surgery (ASAPS)
Beverly Hills, California

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 32 reviews

Pectus Carinatum and Breast Augmentation

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From your photograph, it appears that you do have a reasonable chest wall irregularity. Frequently, breast implants can help camouflage the underlying abnormality if chosen properly. A textured implant can be of some value to help limit the tendency of the implant to want to slide along the angle of the chest. You will never have complete Correction of your asymmetry or chest wall abnormality, but this can be significantly improved.

You should see a board certified plastic surgeon in your area to get a formal opinion through an in-person consultation.

Best of luck,

Vincent Marin, MD

San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 52 reviews

Will breast implants be a success with my case of pectus carinatum?

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Breast implants (not a lift) will help mask the chest wall deformity and the cleavage should not be any wider and probably not any narrower than your photos currently show. This is not an easy augment so be sure and choose an experienced surgeon. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 28 reviews

Augmentation alone

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Thank you for the question and photos and an augmentation alone with different sized implants should help.  You do not need a lift.  So see some experts in your area and find your surgeon

Dr Corbin

Frederic H. Corbin, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 65 reviews

Chest wall deformities and breast implants

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Sometimes these issues can be hidden beneath the implants if the right implant is chosen. Best to see a very experienced doctor to make the best choices.

Pectus and breast implants

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breast augmentation Can often go far to decrease the visual effect of pectus. You definitely don't need a breast lift. One consideration would be having your breast augmentation, living with it for a while, and then deciding whether some fat grafting might be helpful in that area to decrease the we width and fill in the depression.

Ira H. Rex lll, MD
Fall River Plastic Surgeon
4.7 out of 5 stars 51 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.