Interested in Breast Augmentation. Had Nuss Procedure. What are my options to achieve symmetry and cleavage? (photos)

Thank you for the question and pictures. Based on your photographs, I think that you may be an excellent candidate for breast augmentation surgery. The use of different sizes/profile breast implants are often very helpful when it comes to improving breast symmetry. In my experience, 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. Often, patients with pectus excavatum 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.  Based on your photographs, this is not seem to be relevant in your case.Generally speaking, the best online advice I can give to ladies 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 are looking for. Ask to see lots of examples of his/her work.
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.
In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. For example, I have found that the use of know 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. Again, the use of computer imaging has been very helpful during the communication process, in our practice.
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 the use of temporary intraoperative sizers.I would suggest that you meet with well experienced board-certified plastic surgeons; asked to see lots of examples of his/her work. You may find the attached link, dedicated to breast surgery for patients with pectus excavatum, helpful to you as you learn more.
Best wishes. It will go as well as

Thanks for you question and photos. It appears that you had a very good result following your thoracic procedure. As you know, the titanium plate used for the correction is internal, and therefore should notpreclude you from having implants placed between the chest wall and pectoral muscles. Breast implant placement can serve to 'camouflage' remaining thoracic asymmetries.  Your photos do show some minor nipple-areolar asymmetry which will not be corrected by implants alone. With regard to the best implant style and size, I would always recommend that you follow the expert advice of your local plastic surgeon. Best of luck to you.