Unilateral pectus carinatum & BA (Photo)

This is a good question. Breast implants in patient's with pectus carinatum and bony prominences on their chest can slide off the chest wall, sometimes leading to implant malposition. An internal bra (mesh) can be used to secure the implant in place to prevent the implant from moving to unintended places. Instead of implants, an alternative is to have a fat transfer to your breasts. Fat grafting can be done in a way that can compensate for the pectus carinatum. In conjunction with a breast lift, either procedure (implants or fat) is feasible, it just depends on your preference.

I am very familiar with your condition and treat many patients with anterior chest wall deformities. That said, I think that you could achieve a very nice result with a breast lift plus or minus breast implants. Stage in your procedure by having a breast lift first and coming back and placing implants in in the submuscular pocket at a later stage is a very reasonable option to see how you heal from the original surgery.

Hello,
If your chest wall is sloped differently from side to side this will definitely cause the implants to sit slightly differently, just as natural breast tissue would if the chest wall is different from side to side.
I wouldn't let this stop you from undergoing a breast augmentation and lift, any large asymmetries could be adjusted with skin revisions, implant pocket revisions, or fat grafting.
Hope this helps!
-Dr. Halka