Asymetry, tuberous breasts, inverted nipples and a sunken chest..how can I fix all these? Also is my pectus bad? (Photos)

Question

Tom J. Pousti, MD · Answer

Thank you for the question. In my experience, well-placed and appropriately selected breast implants tend to help “camouflage” the concavity associated with pectus excavatum,  making the cleavage area look deeper. Often times postoperatively is hard to know that the patient  initially presented with pectus excavatum.  I usually recommend under the muscle for longer term results as well as reduction in potential for rippling and palpability of the breast implants.

Patients with pectus excavatum usually have medially sloped chest walls ( sloped towards the cleavage area);  care must be taken during the breast implant pocket dissection to avoid the implants coming together too close in the sternal area.

Also, patients with pectus excavatum may have their nipple/areola complexes relatively medially positioned on their breasts;  without intervention this inward  leaning appearance of the nipple/areola does not improve with breast augmentation surgery.

Generally speaking, the best online advice I can give to ladies with pectus excavatum who are considering breast augmentation surgery (regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you're looking for. ***Ask to see lots of examples of his/her work, helping patients with pectus excavatum with breast surgery specifically.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.  him

In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C or D cup” etc means different things to different people and therefore prove unhelpful.

Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate.

The use of computer imaging may also be very helpful during this communication process.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery after  careful measurements are made (dimensional planning).

I hope this, and the attached link (dedicated to pectus excavatum correction) helps. You will also find a separate page, on the same website, dedicated to breast asymmetry concerns.   Best wishes.

Larry S. Nichter, MD, MS, FACS · Answer

Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another.  See the below link on some suggestions on finding the most qualified Plastic Surgeon for a Breast Augmentation.  Always insist on a board certified plastic surgeon.

Emmanuel Mallol Cotes, MD · Answer

Thanks for the question.In my practice for cases like yours I prefer using the Cohesive Gel - Silicone Breast Implants with textured cover ("gummy bear implants") They are quite safe and aesthetically best as they give a firmer consistency, better projection and natural appearance.Kind regards

John Michael Thomassen, MD · Answer

Your best bet is probably an augmentation mammaplasty.  You do not have severe tuberous breasts.  The pectus excavatum is an issue but should be less noticeable with implants.

Dana Khuthaila, MD, FRCSC, FACS · Answer

Thank you for the question and photos. I don't see a tuberous breast or inverted nipples. You appear to have a mild asymmetry of the breasts which can be corrected with breast implants. So really you are not as bad as you think. The majority of women have breast asymmetry. Consulting with a board certified plastic surgeon will help you determine the plan to achieve your goals. Good luck!Dr. Khuthaila

Michael Dobryansky, MD, FACS · Answer

I see no tuberous deformity in your breasts. Also, without a lateral view it is hard to tell, but I do not see a pectus deformity either. There is a slight asymmetry between your breasts which can be corrected during surgery. Also, on the close up view, the left nipple does not appear inverted, which may be just dependent on the moment when the photo was taken. Overall, you appear to be an excellent candidate for breast augmentation and will probably benefit greatly from an in person consultation with a plastic surgeon. Good luck!

Asymetry, tuberous breasts, inverted nipples and a sunken chest..how can I fix all these? Also is my pectus bad? (Photos)

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Asymetry, tuberous breasts, inverted nipples and a sunken chest..how can I fix all these? Also is my pectus bad? (Photos)

Answers (12)

Answer: BA

Answer: BA

Answer: Breast augmentation

Answer: Breast augmentation

Answer: Breast shape

Answer: Breast shape

Browse related questions

Recommended reading

Everything you need to know about Breast Augmentation

Our mission is to create a world where every investment in modern beauty is Worth It.