• Pectus Excavatum Surgery

PECTUS EXCAVATUM SURGERY WITH 3D CUSTOM-MADE IMPLANTS

Nowadays, Pectus excavatum surgery is possible with a very advanced technique which can create a custom-made implant based on the chest wall deformity. The implant can be reshaped and adjusted in situ during the surgery so that the contours are noticed as little as possible.

Sometimes the implant is combined with fat grafting to obtain more natural results.

Pectus excavatum surgery requires a plastic surgeon with wide experience and who is at the forefront of the most advanced techniques.

WHAT IS PECTUS EXCAVATUM?

Pectus Excavatum syndrome, also called Concave chest or Funnel chest, is a congenital deformity of the rib cage which causes a sunken chest in the area of the sternum.

It is more common in men and affects 1 in every 700 people. Up to 70% of patients with Marfan syndrome are affected.

Pectus Excavatum is one of the most common malformations of the chest. The severity typically worsens during the adolescent growth spurt. It is without a specific cause bur it may be an inherited condition because it sometimes runs in families. It can be associated with other deformities such as scoliosis or Poland syndrome.

SYMPTOMS

Concave chest malformations cause aesthetic and psychological problems. They can have consequences on the pulmonary function. When the condition is severe, it also can compromise heart and lung function.

The most common symptoms are:

  • Limitations with physical activities.
  • Fatigue
  • Shortness of breath
  • Chest pain.
  • Heart palpitations.
  • Frequent respiratory infections.
  • Coughing or wheezing.

FUNNEL CHEST SURGICAL OPTIONS

Until a few years ago, for a Pectus excavatum surgical repair, two different procedures were performed:

  • The NUSS procedure: a metal bar is placed inside the chest to lift up the thorax.
  • The Ravitch procedure: to surgically raise the sternum, the costochondral joints are removed.

However, these interventions could cause significant complications such as cardiac perforation, pleural effusion, and erosion of the pulmonary vessels, infections or displacement of the bar.

Currently, Doctor Benito offers a safe and definitive method. The Anatomik Modeling Company creates a custom-made implant based on the thorax deformity using a CT scan (CAT). The implant covers and adapts to the entire defect. It can be reshaped and adjusted in situ during the surgery so that the contours are noticed as little as possible.

Antiaging Group Barcelona is the only Spanish centre of reference for AnatomikModeling. Doctor Benito has received theoretical and practical training on the computerized construction of 3D implants and the distinct intervention techniques.

This plastic surgery should be carried out when body development has finished. It is very difficult to achieve perfect symmetry as the defect involves the absence of several tissues at the same time.

PROS AND CONS OF CUSTOM-MADE IMPLANTS.

The advantages of this surgical technique are:

  1. Customized and personalized surgery according to the existing deformity.
  2. Soft but solid silicone material, which a feel like that of the sternum (chest bone) and definitive.
  3. The edges of the implant adapt to the defect and are also covered by the musculature.
  4. Minimally invasive

The main disadvantage of custom-made implants is the cost, as they are very expensive. But it needs to be kept in mind that these are lifelong implants which don’t need replacing, as they are made with silicone elastomer, not with gel.

3D CUSTOM-MADE IMPLANTS PROCEDURE

Pectus excavatum repair using AnatomikModeling implants lasts about 45 minutes.

This surgical procedure takes place in an operating room under general anesthesia. The surgeon makes an small incision in the side of the chest affected in order to place the implant.

The hospitalization lasts for 3 days after surgery. Physical exercise is to be avoided for 8-12 weeks according to the size of the implant.

The technique can be carried out alone or combined with other treatments (breast implants, fat transfer, pectoral implants) according to the needs of the patient.

The great advantage of surgery using silicone implants is that it is a safe and easy intervention which avoids open chest surgery and its possible complications.

IS IT POSSIBLE TO USE ANATOMIKMODELLING IMLANTS IN ALREADY OPERATED PATIENTS?

Yes, it is possible. Until now, the options offered were the use of standard breast or pectoral implants, fat grafting or custom-made silicone implants formed using external moulds.

Fortunately, new technology allows us to improve the results. For patients who have already had an operation for pectus excavatum, one of the great advantages of the AnatomikModelling 3D implant is that the prototype is made using CT scan images. 

With these computer-aided design, the defect is filled in a way that is almost perfect.

Each case is unique and special and needs a prior evaluation to decide if the re-operation is really worthwhile. For all of this, we recommend a first consultation with Doctor Benito in order to find the best option.

HOW IS PECTUS EXCAVATUM CORRECTED IN WOMEN?

In women, pectus excavatum is five times less common than in men.

It affects breast development and produces very significant breast asymmetry. The corrective operation manages to increase both self-esteem and body image.

The simplest cases can be treated satisfactorily with a breast implant. Fat grafting also makes possible to obtain better symmetry.

In 2015, the company ‘Plastic and Reconstructive Surgery’ carried out a study on 47 women who had undergone funnel chest correction in the same hospital from January 2010 to September 2013.

This surgery was performed in patients with Pectus deformity and an average age of 35 years. The results suggest that neither previous nor simultaneous breast augmentation increased the risk of complications. The authors recommended that cosmetic breast surgery be performed at the same time as the correction of the Pectus Excavatum.

Pectus excavatum surgery -Sunken chest – Best doctor
Pectus excavatum surgery -Sunken chest – Before After

WHEN IS IT RECOMMENDED TO GO IN FOR PECTUS EXCAVATUM SURGERY?

Pectus excavatum becomes more evident in adolescence due to the significant growth in bone and cartilaginous tissue.

It is at this stage of adolescence that it is recommended to carry out this intervention to mould the structures before growth has finished, as when it is stable, reconstruction is more difficult.

HOW MUCH PECTUS EXCAVATUM SURGERY COSTS?

Pectus excavatum surgery cost depends on the physical features of the patient and of the technique used in the surgery.

Without meeting the patient we don’t offer approximate prices as each patient is a different case. But we know that the economic factor is important when it comes to making a decision. Therefore, we offer the possibility for the patient to come to our facilities for a first, free, no-obligation visit.

You can consult with the surgeon regarding all your doubts and worries. Based on your characteristics, we will offer the best solution for your Pectus excavatum surgery.

WHY CHOOSE DOCTOR BENITO FOR YOUR FUNNEL CHEST SURGERY?

There is a solution to Pectus excavatum, but it requires treatment and medical advice by a surgeon with wide experience in this field.

With more than 20 years of experience, Doctor Jesús Benito is known worlwide for his technique to correct the Pectus excavatum by using custom-made Anatomik Modeling implants.

Reconstructive surgery using custom-made implants is a personalised, safe and easy procedure which avoids open chest surgery and its possible complications.

Antiaging Group Barcelona is the only centre of reference in Spain for Anatomik Modeling.

Doctor Jesús Benito: Publications:

Doctor Jesús Benito has published numerous articles in specialized journals which place him among the best specialists in Pectus Excavatum.

Book an appointment with Doctor Benito.

The first visit is free and without obligation.

You can contact us on WhatsApp or Viber at +34 657 460 421.

If you wish, you can send us some photos to have an estimate quote. Photos will not be stored and will be treated with the utmost confidentiality. Please explain the results you wish to obtain.

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    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito

    Antiaging Group Barcelona

    Ronda del General Mitre, 84, 08021 (Barcelona, Spain)

    Nearest Metro Stations: Les Tres Torres / La Bonanova

    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito
    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito

    Antiaging Group Barcelona

    Ronda del General Mitre, 84, 08021 (Barcelona, Spain)

    Nearest Metro Stations: Les Tres Torres / La Bonanova

    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito
    Cosmetic and plastic surgery in Spain | AGB | Dr Jesús Benito