Pectus Excavatum Patients

This 26 year old patient from Winchester, California had been interested in increasing the size of her breasts for several years. After doing research she could not find a surgeon that she felt completely comfortable with until she was referred to Dr. Pousti by one of her friends. She knew instantly after meeting with him that he was the best surgeon for her breast augmentation surgery.  After the examination, Dr. Pousti discussed the patient’s slight “pectus excavatum” and how the breast implants would help camouflage the area.

Before surgery, the patient and Dr. Pousti met several times to discuss their expectations and go over the breast procedure in detail. On the last appointment before surgery,  measurements of the patient’s chest are taken and markings are done in order to help prevent asymmetry.  In pectus excavatum, also known as funnel chest, the sternum (breastbone) is depressed relative to the rest of the chest wall. Breast implants can be used to camouflage mild to moderate pectus excavatum. No matter where you decide to have your pectoralis excavatum repair, make sure your surgeon has experience, and that your safety and comfort are your surgeon’s primary concern.

A sizer is set in place through a small incision made on the areola. This sizer is used to help determine the size of the implant needed to give the patient her desired look. The patient is placed in a sitting position several time during the procedure to see if any adjustments to the breast pocket or the size need to be made.

A Smooth Round Moderate Profile 495cc Saline implant was used in the patient’s left breast and a 525cc for her right breast.

Immediately After Surgery

The patient is very happy with the size and shape of her new breasts.

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Posted in Breast Augmentation, Pectus Excavatum, Petite Frame Breast Augmentation

This 27 year old patient from Austell, Georgia was unhappy the appearance of his chest for several years. The patient was interested in getting corrective cosmetic surgery to fix the appearance of his chest wall.  He was told that he had pectus excavatum and there wasn’t much he can do.  While researching online to find a surgeon he came across Board Certified Plastic and Reconstructive Surgeon Dr. Pousti, who was also experience in chest wall reconstruction.

The patient looked at several before and after pictures and was happy with what he saw. The patient decided it would be worth it to fly into San Diego from Georgia. Upon examination it was determined the  patient that  had lower sternum pectus excavatum. (Pectus excavatum is the most common type of congenital chest wall abnormality.) The patient was extremely happy with his consultation and scheduled his surgery with Dr. Pousti.

During the patients visit to Southern California, a special moulage is taken of the depressed area of the patient’s chest.

The manufactures use this moulage to make the patient’s custom silicone implant.

Markings are made prior to surgery and used to explain what the doctor will be doing during the procedure.

The red markings below indicate the highest amount of depression in the patient’s chest wall. The blue markings indicate where Dr. Pousti will be inserting the pectus implant.

Pectus Implant

The patient is 2 days out of surgery and happy with his initial results.

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Posted in Chest Wall Reconstruction, Correction of Chest Wall Deformity, Pectus Excavatum

This 27 year old patient had been very unhappy with the shape and size of her breasts.  She felt that her breasts were “uneven”, empty on top and “droopy”.  She wanted to regain the “perky” breasts she once had and fill them out more as well.  She wanted cleavage!  Her friend recommended that she visit Dr. Pousti because of his experience with difficult breast procedures.  She saw that Dr. Pousti has lots of experience with breast lifting as well as augmentation surgery.

The patient had some concavity of the chest wall as well causing her breasts to not have the “look” she wanted.  This concavity is sometimes referred to as “pectus” excavatum. In pectus excavatum, also known as funnel chest, the sternum (breastbone) is depressed relative to the rest of the chest wall. Breast implants can be used to camouflage mild to moderate pectus excavatum.

The markings on the breasts show the measurements that Dr. Pousti performs prior to surgery.  The “x” mark indicates where the nipple/areola complex will be moved for better placement of the areola on the breasts.  The breast lift will also give the patient the “perkier” look she wanted.

When performing the breast lift, both areola are reduced in size as well.  On the left breast, the excess skin is also removed for improved symmetry.

Different sized silicone gel implants were used in each breast as well as different profiles.  This was done to achieve the best look possible for the patient.  As you can see below, immediately after both breasts were finished, the results are amazing.  The central “blue” area is where the chest was most depressed and with the breast implants, this depression is camouflaged.  It looks like the patient has deep cleavage.  The patient is almost 2 months out of surgery and extremely happy with her results.

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Posted in Aerola Reduction, Breast Asymmetry, Breast Lift with Implants, Pectus Excavatum

This 26 year old patient from San Clemente, California had been interested in breast enhancement surgery for a little over a year after being unhappy with the size and shape of her breast. She decided to start doing research on double board certified Plastic Surgeons in Southern California and came across Dr. Pousti’s website.

The patient explained to Dr. Pousti that she wanted to not only increase her breast size but was unhappy with a ‘dip’ that she had on her chest wall. After being examined by Dr. Pousti it was determined that the best option for the patient was to augment her breast with silicone gel implants to hide the appearance of her pectus excavatum. Breast implants can camouflage pectus excavatum by giving the patient’s breasts the appearance of “deep cleavage”.

Prior to surgery measurements and markings are made. The markings of the patient’s breast procedure are reviewed the morning of surgery to see if any changes need to be made.

Before Breast Augmentation/Correction of Pectus Exacavatum

Before

Before/Immediately After Surgery

To meet this patient’s size goals and achieve symmetry a 752cc silicone gel implant was used in the patient’s left breast and a 700cc silicone implant was used in her right breast.

The patient is extremely happy with the results of her breast augmentation surgery and pectus excavatum correction.

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Posted in Pectus Excavatum

This 22 year old patient from Oceanside, California was unhappy with the size and shape of her breast and had been interested in breast augmentation surgery for several years. After doing her research she came across Dr. Pousti’s website and was impressed with the amount of experience he had.

During her consultation it was explained to the patient that the dip in her chest was a condition commonly referred to as pectus excavatum. Pectus excavatum is when the sternum (breastbone) is depressed relative to the rest of the chest wall. Breast implants are commonly used for pectus excavatum patients to camouflage the indention. By positioning the correct size/shape of breast implants on the chest wall, the pectus excavatum is camouflaged nicely giving the patient’s breasts the appearance of “deep cleavage”.

Markings as well as the procedure are reviewed with the patient in detail prior to surgery.

The purple arrows indicate where the right breast pocket must be moved up in order to achieve symmetry when the breast implants are in.

To give this patient her desired look a 575cc Silicone implant was placed in the right breast and a 300cc silicone implant was placed in the left.

Immediately After Surgery

The patient is very happy with her initial results of surgery.

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Posted in Breast Asymmetry, Chest Wall Reconstruction, Pectus Excavatum

This 52-year-old male patient from Mannford, Oklahoma was unhappy with the appearance of his chest wall due to pectus excavatum deformity.

During the patients consultation a moulage was made so that it could be sent to construct a custom implant for this depressed area.

Measurements were made prior to surgery to show where the deepest parts of chest wall depression were located. Once measurements are taken, markings are made to show where the implant should be positioned.

An incision is made along the chest wall so that the custom implant can be placed under the pectoralis muscle. The location of the incision is always placed in an area that can easily be hidden.

As you can see immediately after surgery the custom implant filled the depression in the chest wall and created symmetry.

Before

Immediately After

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Posted in Correction of Chest Wall Deformity, Pectus Excavatum

This 31-year old patient from Perris, California (Riverside County) was uncomfortable with her breast asymmetry and pectus excavatum. The patient researched many different surgeons who were qualified to perform her breast augmentation surgery. However, the patient wanted a surgeon who was experienced in pectus excavatum and is also Board Certified in Plastic and Reconstructive Surgery.

Her friend, who was a previous patient of Dr. Pousti, referred her. During her consultation, the patient and her husband was able to seeing many before and after pictures of patients who has pectus excavatum and how Dr. Pousti had help them with breast augmentation surgery. The patient and her husband was convinced that Dr. Pousti was the best surgeon for her and after a few consultations, she decided to proceed with surgery.

Dr. Pousti demonstrates the severity of the patient’s pectus excavatum, her right breast is more prominent, while underneath the left breast the chest cavity look a bit more concaved.

Dr. Pousti uses different size implants and carefully creating the breast pockets in order to achieve a more symmetric and desirable look.

Saline breast implants were used; because the left breast was more prominent then right breast, 400cc was filled in the left breast and 500cc was filled in the right breast for symmetry. The patient is now 4-weeks post-op surgery and is very happy with her results so far. The patient continues to heal and will settle over time.

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Posted in Breast Asymmetry, Pectus Excavatum

This 37-year old patient with very asymmetric breasts with congenital chest wall deformity identified as Pectus Excavatum and was interested in breast enhancement for several years. The patient was unhappy with the appearance of her chest cavity and was interested in breast augmentation surgery to conceal the appearance of the Pectus Excavatum.

The patient researched for a San Diego Plastic surgeon who is experienced with patients of her case and found Dr. Pousti from multiple referrals.

During her consultation with Dr. Pousti, the patient expressed she wanted to be symmetric as possible with fullness, the patient was also unhappy with the appearance of her nipples after breast feeding and was interested nipple reduction surgery as well.

Before

In the operating room, markings were made and used as a guide to measure the amount of tissure to be reduced.

Completed nipple reduction immediately after surgery.

The patient is now 2-months post op surgery with 425cc in the right breast and 325cc in the left breast, in order to achieve as much symmetry as possible.

With breast augmentation surgery, the pectus excavatum is no longer visible and now appears to be “deep cleavage” . The patient is extremely pleased with the results of her surgery.

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Posted in Pectus Excavatum

This 29-year old patient from San Diego, California was very unhappy with the asymmetry of her breasts and the appearance her chest wall. The patient has a congenital condition called pectus excavatum.

The patient wanted breast augmentation surgery to hide the appearance of her mild chest concavity. After several consultations with Dr. Pousti, she knew with his experience with Pectus Excavatum, the patient wanted Dr. Pousti to perform her breast augmentation surgery.

The concaved areas are marked visibly as a guide for Dr. Pousti to create the breast pockets for the implants to sit naturally.

Dr. Pousti sits the patient up and down through out surgery to make sure everything possible is performed to achieve the most symmetric look.

In order to achieve her desired look and fullness, the patient’s left breast inflammatory fold would be lowered to match the right breast and moderate plus profile silicone-gel breast implants were used, 275cc in the right breast and 250cc in the left breast to insure symmetry.

The patient is now 4-days post-op surgery and happy with her new appearance. Although the chest concavity does not change, with breast augmentation the Pectus Excavatum can be masked.

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Posted in Pectus Excavatum

This 20-year old patient from El Cajon, California (East San Diego County) was very uncomfortable with her congenital chest wall deformity called Pectus Excavatum and was interested in breast augmentation surgery.

The patient and her dad, researched for a San Diego surgeon who specializes in complex cases and also experienced with patient with Pectus Excavaum. During their extensive search, the patient found Dr. Pousti on the Internet after seeing many before and after pictures and reading excellent reviews.

The patient and her dad, decided that she would benefit from Silicone-gel breast implants, because the patient wanted the most natural look possible. The risks and benefits of the implants were discussed in detail and the patient proceed with surgery.

The depressed area is clearly marked as a guide to position the implants for most desirble look.

Dr. Pousti demonstrates the depth of the sunken areas and the severity of her pectus excavatum.

Dr. Pousti used 397cc silicone-gel breast implants in both breasts with submuscular placement in both breasts

Immediately after surgery, the depressed look of the chest appears to be “deep cleavage”.

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Posted in Pectus Excavatum