Patients with pectus carinatum are characterized by a protruded sternum that is like a pigeon’s chest. It is a type of congenital sternal deformity.
Patients have the following characteristics:
- Abnormally splayed breasts and nipples
- Thin and tight chest skin
- Obvious protrusion of the sternum and ribs in the center of the chest (bone process)
front image of a splayed breast
Patients with pectus carinatum have abnormally tight chest skin because of a protruding sternum. Therefore, skin thickness and elasticity should be considered when choosing between submuscular and subfascial placement. A single procedure is not suitable for all patients. The following are special considerations in the technique of breast implants:
- The size and diameter of implants should be larger than that in usual procedures to overcome problems such as more apparent breast splay or more distant nipples.
- The medial pocket should be made as close to the midline as possible to create a concentrated and fuller visual effect and achieve the goal of fixing the protruding sternum.
- Silicone implants should be used to avoid rippling or wrinkling near the midline.