Treatment of Micromastia with Pectus Excavatum: A Case Report

오목가슴을 동반한 작은유방증 환자의 치험례

  • Kim, Sang Wha (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Choi, Yun Seok (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Lim, Jin Soo (Department of Plastic Surgery, College of Medicine, Catholic University of Korea) ;
  • Han, Ki Taik (Department of Plastic Surgery, College of Medicine, Catholic University of Korea)
  • 김상화 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 최윤석 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 임진수 (가톨릭대학교 의과대학 성형외과학교실) ;
  • 한기택 (가톨릭대학교 의과대학 성형외과학교실)
  • Received : 2008.04.21
  • Accepted : 2008.06.16
  • Published : 2008.11.10

Abstract

Purpose: Breast augmentation is one of the common procedures in plastic surgery today. The shape, size and insertion plane of the implant is decided preoperatively by physical examination of the breast. Pectus excavatum is one of the most common anomalies of chest wall, characterized by a depression of the anterior chest wall. For patients with a mild type of pectus excavatum, the main purpose of the treatment is aesthetic rather than functional improvement. Two most surgical treatment options for skeletal deformity are the Ravitch technique and minimally invasive Nuss repair. Other options for soft tissue repair are implant insertion and autologous soft tissue augmentation. We performed a surgical operation with Nuss procedures and breast augmentation for a patient with mild pectus excavatum and hypoplastic breast. Methods: A 32 year-old female was presented with hypoplastic breast. Preoperative chest CT was performed, showing pectus excavatum. After Nuss procedure, we inserted saline implant(275 cc textured round breast implant, moderate profile) submuscularly to restore adequately projected breast. Results: Patient's postoperative course was uneventful without any complication. After 6 months of follow-up period, the patient had an excellent result, with high patient satisfaction and no complications. Conclusion: For patients with a mild type of pectus excavatum, who do not have cardiopulmonary symptoms and requires for aesthetic improvement, this simple approach with Nuss procedure and breast augmentation achieves excellent aesthetic correction with low complication rate and high patient satisfaction.

Keywords

References

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