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Concave Chest Deformity

· April 27, 2012

CONCAVE CHEST DEFORMITY AKA PECTUS EXCAVATUM

We see patients with a multitude of different congenital deformities of the chest.  Women present for breast augmentation reconstruction in order to create a normal appearance to their chest wall.  Patients with concave chests do appear in my office.  This is referred to as pectus excavatum in which the sternum is depressed, the costochondral ribs are also depressed medially and then come out laterally.  This leads to a depression along the central aspect of the chest wall.  In terms of final surgical results, it is difficult to establish cleavage in a significant number of these patients.  However, I have found that implants will help to disguise the concavity to some extent, reducing the appearance of the pectus excavatum or concavity of the chest wall.  These are congenital deformities.  Severe pectus excavatum may require a thoracic surgical release of the ribs in order to expand volume space for the lungs.  Some patients do present with decrease in total lung capacity, forced expiration and thereby require chest wall reconstruction.  Patients that we see, however, have more mild forms of pectus excavatum that will simply require an augmentation mammoplasty procedure.  I am able to do the dual plane technique with saline or silicone implants in these patients.

Once again, we are able to disguise a significant portion of the concavity that appears from these chest wall deformities.

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