10 years since previous. First was straight forward BA which caused DB, then 12 months later uplift and change of implants. Iv never been overly happy with the outcome. I suffer from pectus excavatum lightly and the cleavage area has always looked odd (apart from when the area was swollen from surgery. Can much be done to improve the shape? Including the cleavage appearance?
July 21, 2022
Answer: Pectus excavatum and breast surgery Hello! Pectus excavatum can affect how your overall augmentation looks by making your cleavage appear deeper and your breasts look more projected. For this reason, we try to keep the implant a lower or moderate profile and not place them too close as to avoid strange cleavage appearance. You appear to have a naturally close cleavage and possibly a bit of minor lower symmastia. Symmastia can come from breast surgery, but also some people are just made with the skin not well attached to the sternum. I often use fat grafting in addition to implant augmentation for my patients with pectus excavatum to help make the chest wall more symmetric and hide the deformity a bit. If you do have symmastia resulting from surgery, this can often be improved surgically as well, those with it naturally are much more difficult to repair. Good luck!
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July 21, 2022
Answer: Pectus excavatum and breast surgery Hello! Pectus excavatum can affect how your overall augmentation looks by making your cleavage appear deeper and your breasts look more projected. For this reason, we try to keep the implant a lower or moderate profile and not place them too close as to avoid strange cleavage appearance. You appear to have a naturally close cleavage and possibly a bit of minor lower symmastia. Symmastia can come from breast surgery, but also some people are just made with the skin not well attached to the sternum. I often use fat grafting in addition to implant augmentation for my patients with pectus excavatum to help make the chest wall more symmetric and hide the deformity a bit. If you do have symmastia resulting from surgery, this can often be improved surgically as well, those with it naturally are much more difficult to repair. Good luck!
Helpful 1 person found this helpful
July 26, 2022
Answer: Candidacy for revisional surgery? Hi and welcome to our forum!From your photos, I note that the distance from the top of the breast bone to the nipples is increased. the nipples are pointing downward and appear to reside at the level of the fold beneath the breasts, there is loss of superior breast pole volume, there is moderate sag, and there is pre-sternal scar / webbing between the breasts. You appear to be a candidate for revisional mastopexy to lift the nipple areolar complexes into anatomic position, restore superior pole breast volume, and conify the shape of the breasts. The pre-sternal scar and webbing may be minimized by using a smaller implant. It cannot be totally eliminated.The pectus excavatum doesn't play a role here. In most cases, it increases cleavage in a positive manner. 15% of cosmetic surgeries benefit from secondary revision.Visit a board certified plastic surgeon for evaluation and discussion.Best wishes...
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July 26, 2022
Answer: Candidacy for revisional surgery? Hi and welcome to our forum!From your photos, I note that the distance from the top of the breast bone to the nipples is increased. the nipples are pointing downward and appear to reside at the level of the fold beneath the breasts, there is loss of superior breast pole volume, there is moderate sag, and there is pre-sternal scar / webbing between the breasts. You appear to be a candidate for revisional mastopexy to lift the nipple areolar complexes into anatomic position, restore superior pole breast volume, and conify the shape of the breasts. The pre-sternal scar and webbing may be minimized by using a smaller implant. It cannot be totally eliminated.The pectus excavatum doesn't play a role here. In most cases, it increases cleavage in a positive manner. 15% of cosmetic surgeries benefit from secondary revision.Visit a board certified plastic surgeon for evaluation and discussion.Best wishes...
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