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Dr. Linder's Blog

Breast Revision Pectus Carinatum

Posted On: January 06, 2012 Author: The Office of Dr. Stuart Linder Posted In: Breast Revision

Breast Implant Revision

Below is an example of a patient’s significant pectus carinatum with right posterolateral slanting of her chest wall.  She has undergone augmentation mammoplasty procedure by two different surgeons with an unsatisfactory result.  She has inadequate parasternal cleavage with lateral displacement of the implant, especially along the inferomedial portion of her right chest.  In postoperative photos she underwent open capsulotomy medially with an inferomedial muscle release of the pectoralis major muscle and an inferolateral capsulectomy.  The implants were then replaced from moderate profile to extra high profile style 45, 600 cc gel implant, now creating better fullness of the upper pole with a better cleavage.  The patient has worn compressive garments for six weeks.  The incisions are now healing nicely, although there is some redness associated with capillary telangiectasia and this should resolve in the next three months with BioCorneum and vitamin E therapy.

Befor & After Patient

Severe carinatum and reconstruction should only be performed by Board Certified Plastic Surgeons as these are very difficult surgeries in order to regain cleavage, especially with lateral and posterior displaced chest walls.