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

Thank you for your question.  Based on your submitted photos you appear to be an excellent candidate for a breast augmentation procedure to produce beautiful overall results. Schedule a consultation with a board certified plastic surgeon to discuss your surgical options, address your goals and any concnerns you may have, then work together with your surgeon to create the plan that best helps you achieve your overall desired look.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

Hi there, thanks for the
question.A breast augmentation or fat
transfer to the breasts couldhelp with
balance and fullness in the breasts.It
will also help camouflage any concavities remaining.The asymmetry in your breasts can be
improved, but you will likely still be asymmetric.  Best of luck!Sincerely,Dr. Michelle Spring

Your posted photos show rib cage asymmetry, asymmetric breasts, a lower left than right inframammary fold, right nipple further from the midline and higher than the left nipple and a concave inner upper left chest. Clearly implants alone even if of different sizes are not a good idea and exact symmetry is not in the realm of possibility. In discussing this with your surgeon you need to go over all of the options that would move you towards a more symmetric appearance possibly raising the left fold and adjusting the right nipple position. I do not think any implant will suffice to fill that left chest concavity so you will likely need to consider fat grafting to that area. Since different sized implants will be required you should also consider saline vs. silicone as your surgeon would be able to adjust saline implant size on the operating table for the best match.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.

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.

Your right breast is smaller with a higher crease which can be improved with breast augmentation. The right nipple is also higher than than the left and would remain that way after breast augmentation unless you have a lift on the left (we can't lower nipples easily, only raise them). Breast asymmetry is very common, and if the nipple positions don't bother you I suggest leaving them alone. You and your surgeon can end up chasing your tail doing too much to get them symmetrical and never getting it perfect.