Your nipples are going to point inward regardless of the implant size, and the cleavage will be exaggerated. Choose the size that gives the augmentation that you are desiring. (If you go too small, you will ultimately end up paying again to get what you really wanted the first time).

Published on Jul 11, 2012

If you had surgery, wait. Given the details you provided, you will likely be a D in a Victoria's Secret. Not sure I agree with your surgeon's opinion about not being able to go larger, but the pectins will give you a killer cleavage and a D is pretty good.

Published on Jul 11, 2012

In Dr. Stein's experience with this condition, he has used auto fat transfer to create a more attractive chest wall.

Published on Jul 11, 2012

It is difficult to say without seeing you, but the imaging system that we have available would show you what we could do with different shaped implants and sizes.

Published on Jul 11, 2012

An interesting question that is difficult to answer without an exam. I will say however that having your 300cc implants placed and giving things 8 months or so to allow the skin to stretch may allow a larger implant to be placed in the future. Fat grafting may also allow a fuller look without sacrifice
I hope this helps

Published on Jul 11, 2012

Your plastic surgeon is correct. With a pectus excavatum you are limited in implant size based on the base width of your breasts and your soft tissue stretch. An implant too wide will create a synmastia and too projecting will result in an inward displacement of your nipple and areola. You may be a candidate for fat grafting to the breast to add additional volume and fullness. I recommend you discuss this further with your plastic surgeon after you have allowed yourself more time to heal. It's still very early in the healing process. Take care.

Published on Jul 11, 2012

Let these settle and see how you feel. You can always exchange them to larger implants down the line.

Published on Jul 11, 2012

Your doctor was absolutely correct. You shouldn't go too big with pectus deformity. The results are always disappointing. I would have to see pictures or perform a physical exam to know exactly how big "too big" is for you, but it sounds like you have a very smart PS. Best of luck!

Published on Jul 11, 2012

It is so hard to answer this without per and post-op photos, and to that a pectus and asymmetry. Any answer would just be speculation. I would follow your Board Certified Plastic Surgeons post-op instructions carefully and completely. You will do well.

Published on Jul 11, 2012

It's way too early to tell if you'll be satisfied, but the alternatives include revision augmentation with larger implants or fat grafting. You would need to be examined for any definitive suggestion.

Published on Jul 11, 2012

Thank you for your question.
Because you are only 1 week out from surgery, I would suggest (as I do with all patients) to allow things to completely heal and settle before considering more surgery. Performing breast surgery on patients with Pectus Excavatum is tricky and experience is key. I would allow your surgeon to get you through the recovery process before you decide to go larger in size.
Best wishes for a result that you will be pleased with.

Published on Jul 11, 2012

Great question. Fat transfer may be a good option. In doing so, the inner part of your chest can be built up to help with the issue.

Published on Jul 11, 2012

A 300cc implant for your build sounds reasonable. That size will give you the flexibility to look conservative with a lace bra and more voluptuous with a push up bra.

There are chest wall reconstructions for left is excavatum that are done for severe cases but they are big surgeries and probably not worth it in your situation.

Published on Jul 11, 2012

Unfortunately, with pectus excavatum, there are limitations to what can be done. It is true that as the implant gets bigger, it may bring the nipples inward due to the inward rotation of your ribs. However, that being said, you are still very very early in the healing process and have a few months to go. I would just be patient and allow the breasts to relax and settle. Once they have stopped changing, then you will have a better idea of how things look with regards to current size and shape. At that point you can discuss whether any size increase/ projection increase would be possible. I hope this helps.

Published on Jul 11, 2012

Good morning!
Without seeing your photos, it does make sense that you would be able to achieve a nice result with a larger implant. 300cc High profile is a very narrow implant for someone 5'8", 144 pounds.
Take care

Published on Jul 11, 2012

In some instances, you can wait 4-6 months and undergo a revision with a new implant once the skin envelope has stretched.
In other instances, I have achieved localized fullness of the inner cleavage area using fat transfer for correction of pectus excavatum.

Published on Jul 11, 2012