I've gone to a consultation and did the sizing and would like to try and stay in between the 180-215 range. But with going this small will that fill the gap in the middle of my chest and give me more cleaver to work with? I really want to find someone who is confident and willing to explain how this is going to work because it's more complex than the average woman's chest. Any thoughts and advice are appreciated thank you!
March 10, 2017
Answer: Fat grafting followed by breast implants Unfortunately, even if you were to undergo a breast augmentation with large implants it would not correct the issue. If you do not want to undergo bony reconstruction (which is a big procedure) I would recommend camouflage with fat grafting. Several treatments would be required to camouflage the area. After this, I would suggest a breast augmentation with 410 cc textured form stable implants.
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March 10, 2017
Answer: Fat grafting followed by breast implants Unfortunately, even if you were to undergo a breast augmentation with large implants it would not correct the issue. If you do not want to undergo bony reconstruction (which is a big procedure) I would recommend camouflage with fat grafting. Several treatments would be required to camouflage the area. After this, I would suggest a breast augmentation with 410 cc textured form stable implants.
Helpful
March 9, 2017
Answer: NOT TRUE PIGEON CHEST This rib cage deformity is not a true pigeon chest which typically is a symmetrical protrusion at the sternum. This is a severe asymmetry on the right side of the midline. Hiding this completely is not a reasonable expectation. The muscle insertions are wide and asymmetric, so placing silicone implants on top of the muscle is prudent. This will improve the cleavage of the left, more normal side and avoid the jumping breast deformity. The rib cage deformity on the right will preclude the implant from sitting medially. The larger the implant, the further it will push into the axilla. I suspect that there is a depression of the rib cage just to the right of the prominent ridge. If so, the implant will want to nest in this area.The marked depression and bump to the medial side of the ridge is a further challenge. The implant cannot hide this, as it will sit laterally to the ridge. However a careful hands on examination might reveal if this depression could be partially filled with a custom shaped prosthesis or a long term filler to soften the cleavage drop off.An interesting challenge, with no easy answers.
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March 9, 2017
Answer: NOT TRUE PIGEON CHEST This rib cage deformity is not a true pigeon chest which typically is a symmetrical protrusion at the sternum. This is a severe asymmetry on the right side of the midline. Hiding this completely is not a reasonable expectation. The muscle insertions are wide and asymmetric, so placing silicone implants on top of the muscle is prudent. This will improve the cleavage of the left, more normal side and avoid the jumping breast deformity. The rib cage deformity on the right will preclude the implant from sitting medially. The larger the implant, the further it will push into the axilla. I suspect that there is a depression of the rib cage just to the right of the prominent ridge. If so, the implant will want to nest in this area.The marked depression and bump to the medial side of the ridge is a further challenge. The implant cannot hide this, as it will sit laterally to the ridge. However a careful hands on examination might reveal if this depression could be partially filled with a custom shaped prosthesis or a long term filler to soften the cleavage drop off.An interesting challenge, with no easy answers.
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