| This young man was not happy with his chest wall. He did not feel comfortable taking off his shirt at the beach or the pool. He wanted to have chest wall reconstruction. He started doing research and found San Diego Plastic Surgeon, Dr. Tom Pousti. After seeing many examples of chest wall reconstruction with custom made solid silicone implants, this patient decided to proceed with surgery.
 
As you can see in these pictures, the center of the patient’s chest has a significant indentation visible. This is what the patient was uncomfortable with.
Dr. Pousti took his time marking the area that bothered the patient while discussing with the patient how the procedure would be performed.
The first step would be to prepare the “moulage” (which is a mold of the area that needs to be treated) which would then be sent to the company that Dr. Pousti uses to have a custom made solid silicone implant made for this patient.
The custom implant is made in 6-8 weeks and the patient is ready to proceed to the operating room.
 Here is the solid silicone custom implant  Dr. Pousti in the operating room.  You can see the indentation  After the implant is placed. As you can see in this picture taken immediately after the procedure is completed in the operating room, the center portion of the patient’s chest (which used to have a severe indentation) is now completely level.
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