Correction of Pectus Excavatum With Breast Hypoplasia Using Simultaneous Pectus Bar Procedure and Augmentation Mammoplasty

Abstract

Most women with asymmetric pectus excavatum suffer from hypoplastic breasts. Hence, aesthetic correction of pectus excavatum has to address thoracic wall deformity, breast hypoplasia, and asymmetry.In retrospective series, 21 patients with a diagnosis of pectus excavatum with hypoplastic breasts were corrected using the pectus bar procedure and subpectoral augmentation mammoplasty. Results were assessed by analyzing prospectively collected data and calculating pectus indices from computed tomographic scans. At 12 months postoperatively, cosmetic evaluations were performed by the patients and by an independent, board-certified plastic surgeon using score from 0 (very poor) to 4 (very good).Cosmetic results evaluated by plastic surgeon were good (3.33 ± 0.03) and patient satisfaction was high (3.52 ± 0.03). Furthermore, indices of pectus excavatum were corrected to near normal.The authors consider that the pectus bar procedure with subpectoral augmentation mammoplasty is useful for the aesthetic correction of pectus excavatum with hypoplastic breasts.

Improvement in Existing Chest Wall Irregularities During Breast Reconstruction

“…All patients were satisfied with the result, and none desired further surgical treatment for pectus excavatum. 11 When untreated or undertreated pectus excavatum is identified in a patient presenting for mastectomy and reconstruction, operative plans should include careful dissection of the medial pocket with an assistant compressing the midline to avoid symmastia 12 as well as wider-based implant selection.…”

Outcomes in adult pectus excavatum patients undergoing Nuss repair

“… 1 – 4 The deformity is reported to occur more frequently in males than females; however, diagnosis in females may often be missed if obscured with breast tissue. 5 – 7 Depending on the severity, presentation of PEx may range from a minor cosmetic issue to disabling cardiopulmonary symptoms. 8 – 10 The internally displaced sternum can cause right-side heart compression and restrictive deficits.…”