Pectus Excavatum fix without implants?

Question

Moderate pectus excavatum. My PE is slightly less deep now, but still unhappy. I really do not want to undergo any sort of implant as I've read too much about implant illness and my mother has suffered from it(BII) as well. What options do I have? It seems like a dead end. I've read about fat transfer to the dip not working, etc... please help!

Kenneth Hughes, MD · Answer

Hello, thank you for your question. It is hard to tell without proper photos. If you do not want implants, fat transfer is an option. Breast fat transfer is a great tool to balance breasts, improve symmetry, and gain up to one cup size in volume. Email or Skype with a board certified plastic surgeon who performs hundreds of aesthetic breast procedures each year with favorable patient reviews and numerous before and after photos on his/her website to discuss the best path ahead for you.

Casey Anderson, MD, FACS · Answer

If you don't want an implant, fat transfer is your best option. If the picture posted is you, your pectus surgeon did a really great job. It's a bummer you aren't satisfied with the results. All procedures carry a complication rate - a surgeon that tells you otherwise is not telling the truth. That being said, most procedures have a huge number more of happy patients than unsatisfied ones; otherwise, we would stop doing those procedures. Your best bet is to consult with an experienced plastic surgeon who can go over all your options including the pluses and minuses.

Daniel Barrett, MD · Answer

Dear arnonn,
it is hard to tell for sure without an examination. Generally speaking, fat transfer can be used to correct some asymmetry. 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

Ram Kalus, MD, FACS · Answer

I assume your photo is a “wish” picture. Without examining you in person it is impossible to provide with any specific treatment recommendations. Furthermore, sorry to hear that your mother is not well but please know that BII is a complex and controversial subject and without knowing more specifically what her own medical history is, it is unwise to assume that you are not a candidate for breast implants. Fat grafting is indeed a safe and acceptable option in the right candidate, but this generally needs to be repeated several times with additional risks of anesthesia and surgery,, with very nominal augmentation. Best of luck to you.

Karan Chopra, MD · Answer

Fat transfer is the best option given your minor deformity. I can hardly see it in this picture anyway. Fat transfer does work but it requires more fat than you think because not all of the fat survives the procedure. See an expert.

Connie Hiers, MD, FACS · Answer

Just based on your one photo with a bra, your deformity is not very noticeable. Your options are implants, fat transfer, or injections with something like Sculptra. I would suggest meeting with a board certified plastic surgeon and discussing these options.

Richard P. Rand, MD, FACS (retired) · Answer

If that is a picture of you I would suggest that you look fabulous and should do absolutely nothing at all. Just be happy. If that is a wish picture, please repost one of you.

Pectus Excavatum fix without implants?

Answers (7)

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