Interested in Breast Augmentation. Had Nuss Procedure. What are my options to achieve symmetry and cleavage? (photos)
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Doctor Answers 9
Breast Augmentation after Nuss Procedure?
With kind regards,
Lane F. Smith, M.D., F.A.A.C.S., F.A.O.H.N.S., F.A.B.F.P.R.S.
Las Vegas Plastic Surgeon
Interested in Breast Augmentation. Had Nuss Procedure.
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
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Dr. Michelle Spring
Pectus excavatum and #asymmetricbreasts
Your case is sufficiently complex that you should not just see one surgeon and do what they say. A reasonable result is achievable with more than one approach. You just need to make sure that the approach makes sense and covers all bases, you have confidence in your surgeon and you are open to a staged procedure.
I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.
Symmetry after pectus repair?
Breast Augmentation after Nuss Procedure?
preclude 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.
Breast Augmentation with Pectus Excavatum
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.