5’8, 145lbs, breast augmentation with mild pectus excavatum & planning to go with 255cc & 275cc, MP (Photos)

Question

I am a couple weeks out from my BA. I’m excited but thinking about the final look a lot. Planned to go with 255cc and 275cc silicone MP. I have mild pectus excavatum. Can any surgeons or patients share their results if you have pectus excavatum? I am 5’8 145lbs

Leopoldo Baccaro, MD · Answer

You have a very mild pectus. Breast augmentation should actually help camouflage it a bit. Be sure to consult with a Board certified Plastic Surgeon!

Semih Yildiz, MD, FEPOBRAS · Answer

I reviewed your photos, and there appears to be a mild central chest wall depression with some natural breast and chest asymmetry. In mild pectus excavatum, breast augmentation can still give a very nice result, but implants do not truly correct the underlying rib/sternum shape. They can add breast volume and soften the appearance of the chest wall, while some central shadowing or asymmetry may still remain.

The 255 cc and 275 cc silicone moderate profile plan sounds like a conservative, natural-sized range for your height and frame, but the best choice depends more on your breast base width, soft tissue coverage, implant width, pocket position, and your exact goals than on the cc number alone. A small difference between sides is commonly used when one breast or chest side starts slightly different.

With pectus, I would specifically ask your surgeon whether the selected implant widths match your breast footprint, whether the pockets will be adjusted for chest wall asymmetry, and what cleavage expectations are realistic. Trying to force implants too close together can create problems, so a balanced, natural plan is usually safer than chasing a perfectly flat sternum or very tight cleavage. If you are still unsure, ask for another sizing session or 3D simulation before surgery.

Daniel Barrett, MD · Answer

Dear ela1330,
based on your photos, it looks like your chest deformity is not that severe. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Ram Kalus, MD, FACS · Answer

Thanks for your question and photos. It appears that your lecture is not severe and you therefore probably should be too concerned about that. The implants you are considering are relatively small which is good if your goal is a natural appearance that stays “below the radar”. Your plastic surgeon is your best resource for additional questions and concerns. Best of luck to you.

Ted Eisenberg, DO, FACOS, FAACS · Answer

She got saline, 325cc on the right and 275cc on the left. Good luck.Dr. Ted Eisenberg, Board Certified Plastic Surgeon and Author. RealSelf Distinguished Hall of Fame Inductee. Philadelphia, Pa., USA

Pawel Szychta, MD, PhD, DSc · Answer

Having mild pectus excavatum can affect breast augmentation outcomes, but many patients achieve excellent results. Using slightly different implant sizes (255cc and 275cc) helps address chest asymmetry. It's important to work closely with your surgeon, who can tailor the procedure to your anatomy. They may also provide before-and-after photos of similar cases to give you a realistic expectation. With careful planning, you can achieve a natural and balanced look that complements your physique.

Connie Hiers, MD, FACS · Answer

Placing the implants behind the muscle does help disguise the pectus and give a more natural look in many women.

Mauricio Castano, MD · Answer

Hi, I would say is a you have very low degree of pectus excavatum, I wouldn't worry about it, with that size of implants I'm sure you will get a great result, go for it )

Camille Cash, MD · Answer

Using differently sized implants can help improve asymmetry.  The difference between your two implants is only 25cc.  For reference, this is less than two tablespoons of volume.  This may provide a bit more balanced look to the breasts.  Your surgeon may have sample implants you can try on to help you visualize your look after surgery.

Mats Hagstrom, MD (license on probation) · Answer

Having mild pectus excavatum should not prevent you from having a good breast augmentation outcome you had a.
If anything, it gives the impression of more defined cleavage.
As a general statement breast, augmentation outcomes are based on three variables.
The first is patient candidacy.
 Frontal picture would be more helpful in order to make an assessment.
Variables that can affect patient candidacy include breast position on the chest wall, breast shape, breast divergence, and to some degree the shape of your sternum.
A front picture would allow us to assess breast and potential breast divergence a little better.
 Individuals who have variables that make them less than an ideal candidate for breast documentation like significant breast divergence may have these variables amplified with the projection of implants.
To help that for the best provider and get a good understanding of what your results are likely to look like I recommend asking providers to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar body characteristics get paragraph bring pictures of yourself to use as a reference during the consultation, especially when reviewing before, and after pictures.
 by seeing pictures of previous patient who had similar breast characteristics, you should get a pretty good understanding of what your results are going to look like.
This process also works to that providers in regards to skill and experience.
Providers who are unable to show you quality collection of before, and after pictures of previous patients with similar characteristics May have insufficient experience.
The second variable is implant selection in regards to shape size and type.
Surgeon will have their own way of guiding patients through the implant selection process.
Some plastic surgeons do this better than others.
The third variable is the surgeons ability to put the implants in the correct anatomic location.
 Outcomes like implants riding high or implants eventually bottom out are to implant Placement.
I recommend patients have a few consultations to help them find the right provider.
In the end provider selection is probably the most important variable.
In the hands of the right provider implant selection should be fairly effortless and straightforward.
What results are likely to look like should be conveyed accurately.
The chance of needing revision surgery is going to be reduced.
As a general statement, anytime, excessively large implants are used the chance of undesirable side effect, complications and need for revision surgery is going to be increased.
 Best,
Mats Hagstrom MD

5’8, 145lbs, breast augmentation with mild pectus excavatum & planning to go with 255cc & 275cc, MP (Photos)

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