Breast Augmentation

Before And After Photos


This is a young woman who presented to me for a breast enhancement. She has very small breasts on a very asymmetrical chest wall. She has “funnel chest” or pectus excavatum.

She is very self-conscious about her chest and was only interested in very small implants. I “convinced” her on the need for implants large enough to address the underlying issues so that her cosmetic result is optimal.

She is seen here after a bilateral breast augmentation with 325cc on the left and 400cc on the right. This result is impressive, and is all predicated on choosing the right size implants that work with her anatomy. It would be hard to tell that she had all of the chest and breast asymmetries before her surgery.

Lessons to learn:

  1. Pectus excavatum is the most common inherited deformity of the chest in humans. It refers to a depression in the center of the chest that is also associated with other asymmetries of the ribs and the spine as well. Usually it is only of cosmetic concern. I see a fair amount of patient with this condition in my breast practice.
  2. I have learned that breast implants ALONE can offer these patients a HUGE improvement of their condition. MAJOR surgery is generally not recommended if you are concerned about the cosmetic appearance of your chest/breasts.
  3. This patient was very self-conscious about her breast/chest area. Post operatively, she is still self-conscious even though she has beautiful breasts and her chest wall asymmetries are almost invisible.
  4. It is difficult to have a liability one minute and an asset the next. It’s an adjustment that comes easy from some people but not others. It takes time, but generally most patient will learn to love their new assets.
  5. Choosing too small of an implant would not truly help the appearance of her chest and her implants would look like two “stuck on” breasts and her asymmetries would still exist. It would not be satisfactory in my opinion. Often patients who are concerned or self-conscious about their breasts don’t want to consider anything that would draw more attention to an area of their body that they don’t like.
  6. In most breast augmentation cases with ribs that are sloped to the side and not towards the midline have to worry about lateral displacement of their implants and have to wear a bra to keep them up front. In her case, her implants will actually want to move towards the center of the chest. In some cases a bra that actually separates her breasts will work to keep her breasts in the best position on her ribs.