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Case Number 1464: Pectus Excavatum – Chest Wall Reconstruction

This 21-year old patient from San Marcos, California (North San Diego County) came in to meet Dr. Pousti because he was VERY UNCOMFORTABLE with the appearance of his chest wall.

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He had the Nuss Procedure when he was younger but was unhappy with the cosmetic result of his surgery. The Nuss Procedure is performed for medical necessity. Children with moderate to severe defects often experience shortness of breath, exercise intolerance and chest pain. These are the results of compression and displacement of the heart and secondary lung compression.

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He and his mom found Dr. Pousti on the Internet when they searched “custom pectoralis implant”. They had seen that Dr. Pousti is a double board certified Plastic and Reconstructive Surgeon with a lot of experience with pec implants, pectus excavatum and chest wall reconstruction. Pectus excavatum, also known as funnel chest, the sternum (breastbone) is depressed relative to the rest of the chest wall. After meeting Dr. Pousti at his San Diego office, and discussing the procedure in detail, the patient wanted to proceed with surgery.

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Dr. Pousti marked the depressed areas

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A moulage was made as a guide for the custom silicone implant.

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Markings were made in detail for the planned procedure.

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The severity of the patient’s chest depression is shown.

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The incision from his previous “Nuss procedure” was used, in order to avoid creating additional scars.

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Custom silicone implant

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The implant isĀ preparedĀ for placement.

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Immediately after surgery.

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The depression of the right chest is filled and symmetric.

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The patient is now 2-weeks post-op surgery.



Before

2-months

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After

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After 2 weeks

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After 2 weeks

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After 2 weeks

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After

Before - making moulage

Before - making moulage

In the Operating Room

In the Operating Room
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Pousti Plastic Surgery Center
Pousti Plastic Surgery of San Diego
8851 Center Drive, Suite 300
La Mesa, California 91942
Phone: (619) 466-8851 or Email
 
Dr. Tom Pousti is a San Diego and La Jolla Plastic Surgery specialist. He has provided plastic surgery treatments to many San Diego and La Jolla facelift, tummy tuck, liposuction, breast augmentation, and rhinoplasty patients. His office is located in San Diego, and also serves the La Jolla, Riverside, Inland Empire and Temecula areas. Disclaimer


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