| 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.
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.
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.
Dr. Pousti marked the depressed areas
A moulage was made as a guide for the custom silicone implant.
Markings were made in detail for the planned procedure.
The severity of the patient’s chest depression is shown.
The incision from his previous “Nuss procedure” was used, in order to avoid creating additional scars.
Custom silicone implant
The implant is prepared for placement.
Immediately after surgery.
The depression of the right chest is filled and symmetric.
The patient is now 2-weeks post-op surgery.
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