Can my Pigeon chest be camouflaged without going too large with implants and will I be able to have cleavage? (photos)

Thank
you very much for your question and photographs. It is important to remember
that no matter how large of implants that you choose, a breast augmentation
cannot change the distance between your breasts, therefore will not improve
your cleavage. Additionally, you are dealing with a protruding sternum or boney
deformity, which will be difficult to camouflage. I recommend that you schedule
an in-person evaluation with a board certified plastic surgeon, very
experienced in breast augmentation procedures. At this time, he/she can perform
a physical evaluation and explain in detail what kind of results you can expect
with a breast augmentation procedure. A renowned plastic surgeon can create a
treatment plan that includes additional surgical techniques that may help to
improve the appearance of your chest.   

Thank you for the question and photos. It is difficult to answer your question without examining you however from reviewing your photos you may benefit from both augmentation and fat grafting to help improve your deformity. I would recommend to consult with a board certified plastic surgeon. Good luck.

As you can see from the array of answers, there are many ways to treat your problem.You may want to consult with several highly regarded board certified plastic surgeons to see their approach.  Where your muscle inserts, the animation of your muscle, the size and location of the bones, etc.  all play a role in how your problem should best be handled.

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. 
Best wishes, 
Dr. G 

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.

Breast implants will certainly not correct the deformity of the sternum but can significantly camouflage it.

Size matters when you want to hide part of the underlying anatomy. It also matters in terms of achieving your goals. There may be a size that is a good compromise and helps with increasing your cup and hiding the pigeon chest. This determination can only be done in person and not online. 
You can also consider fat injections to camouflage the chest wall. Your pigeon chest makes you a less than ideal candidate for breast implants so you need to understand the limitations and set realistic expectations even though there will be a tremendous improvement. 
Best wishes, Dr. Aldo

You are correct...augmenting a pidgin chest can be quite challenging.  If you want more cleavage consider a sub glandular Implant rather than submuscular.  Also consider an Implant with a wider base diameter to cover your breast bone.  Good luck!

Thank you for your photos. You appear to have both assymetric soft tissue (skin, fat, breast tissue) and bone structure (sternum and ribs) which is affecting the overall appearance of you rbreasts. Implants can help camoflauge some of the underlying irregularities,  but you may be better served with a combination of implants and fat grafting to allow for more coverage of the bony framework and a softer appearance. It is best to have an in-office examination to evaluate your anatomy and to determine what procedures you are a candidate for to offer you the best and safest results. Hope this helps!Johnson C. Lee, MD Plastic Surgery

You have some significant rib and sternal asymmetry, with areas that should be filled and flattened. No implant will do that for you. I strongly recommend fat grafting to your chest. It's much better than an implant at filling in that sternal groove, which the implant can actually make worse as it raises the breast higher. You can do this with the implant surgery. Your problem is pretty significant, I think you can also get insurance to cover both the implants and the graft.