Breast Asymmetry & Thorax Deformity

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Pectus Excavatum

Symmetry and aesthetic harmony

Pectus Excavatum is one of the most common thoracic deformities. It is characterized by a malformation of the sternum in the form of funnel or sunken chest. The condition causes the sternum and the rib cage to grow abnormally leading to a caved-in or sunken appearance of the chest. Dr. Panayi offers, in exclusive collaboration with AnatomikModeling and the Department of Plastic, Reconstructive and Aesthetic Surgery of the University Hospital of Toulouse in France (Rangueil Toulouse University Hospital & Larrey Toulouse University Hospital), an innovative and minimally invasive treatment with the use of a customized 3D implant.

VIEW REAL RESULTS

Pectus excavatum is a deformity of the thorax characterized by a medial or lateral dentition of the sternum. It occurs in 1-2% of the population. In women, pectus excavatum manifests itself manifests with deformities or asymmetries in the breasts, while in men it creates a deformity in the pectoralis major muscle. Patients tend to demonstrate mainly psychological symptoms such as anxiety, embarrassment and limited capacity for activities. In more severe cases it may cause heart and/or respiratory problems.

Dr. Panayi, in an exclusive collaboration with AnatomikModeling and the Department of Plastic, Reconstructive and Aesthetic Surgery of the University Hospital of Toulouse in France (Rangueil Toulouse University Hospital & Larrey Toulouse University Hospital), is able to provide an innovative, progressive and minimally invasive treatment to his patients through the use of custom-made 3D implant which fits the patient’s sternum perfectly and fills in the dent in the thorax. This approach offers an immediate aesthetic improvement of the chest deformity, without the risks and complications of conventional orthopedic surgery. 

THE TECHNIQUE

AnatomikModeling, in cooperation with the doctor, designs and develops custom-made implants that fit perfectly each patient’s anatomy for an optimally aesthetically pleasing result. Correcting the deformity is in a vast majority of cases complete, definitive, and natural with a very satisfying anatomical restoration. The 3D custom-made technique enables excellent morphological results regardless of the sex, age or type of deformity. The 3D custom-made implant technique consists of filling the “hole” in the chest without touching the rib cage unlike traditional orthopedic techniques such as Nuss or Ravitch. Each implant is designed to adapt to the patient’s own anatomy. The 3D custom-made silicone implants are computer-designed from a medical scan of each patient’s body. The implants are made in medical polymerised silicone and not as a silicone gel as it is the case for breast implants. There is therefore no risk of implant rupture or appearance of retractile fibrous shells, the implants are placed for life.

THE SURGICAL PROCEDURE

The surgery takes place under general anaesthesia and lasts in average 1 hour and presents minimal risks. The surgeon prepares the locus to the size of the implant after performing a 7-cm vertical median incision. The implant is deeply slipped into the locus under the muscle, so that it is completely invisible. The closing is made in 3 planes with absorbable intradermal stitch. The duration of hospitalization is 1-3 days maximum.

SURGICAL OUTCOMES

The procedure offers excellent surgical outcomes with a rapid recovery:

Short and little post-operative pain treated with simple analgesics;

The stitches are resorbable, no drain, only a dressing for 8 days and a compression bra to wear from discharge for 1 month

Between 2 and 5 seroma punctures in the locus

Sick leave for 15 days and sports restriction for 3 months

Immediate result even if it takes 1 month for the oedema to resolve and 1 year for the scar to fade.

Follow‑up consultation sessions are always scheduled after the operation to ensure patients are recovering well and evaluate results.

TECHNIQUE ADVANTAGES

  • The placement of the implant is simple. The implant is placed under the muscle for perfect stability.
  • Improved aesthetic effect – the edges of the prosthesis are not visible. 
  • Permanent implant for a lifetime: state-of-the-art polymerized silicone (silicone rubber, without silicone gel).
  • The postoperative period is much less prolonged compared to orthopedic techniques (Ravitch or Nuss): only one surgery lasting 1 hour, with hospitalization of 1 to 3 days.T
  • The risks of hematoma are small: no drainage is required.
  • Surgical outcomes with minimal pain: the pain is treated with simple analgesics.
  • Quick return to activities: 15 days abstention from work and 3 months from sports activities.
  • Complex cases are easier to manage: slanted or low deep chest, recurrent surgery.
  • In women, the technique allows a subsequent breast augmentation with silicone implants if desired.

 

INDICATIVE RESULTS

SPECIALIZATION

Dr. Panayi has extensive experience in surgeries relating to deformities of the Breast and Thorax and trained under the pioneer Pr Jean-Pierre Chavoin, ex-Head of the Plastic Surgery Department of Toulouse University Hospital. Learn more.  

 

Poland Syndrome

The Poland Syndrome is a disorder which is characterised by the complete or partial absence of chest muscles, known as the pectoralis muscle resulting in abnormalities that can affect the chest, shoulder, arm, and hand. The extent and severity of the abnormalities vary among affected individuals. The defect often takes the form of a depression under the clavicula and in women by a breast asymmetry and nipple abnormalities. In most cases, the abnormalities in the chest area do not cause health problems or affect movement.

 

Dr. Panayi, in an exclusive collaboration with AnatomikModeling, is able to provide an innovative, progressive and minimally invasive treatment to his patients. AnatomikModeling designs and develops custom-made implants that fit perfectly each patient’s anatomy for an optimally aesthetically pleasing result. The 3D custom-made silicone implants are computer-designed from a medical scan of each patient’s body. The implants are made in medical polymerised silicone and not as a silicone gel as it is the case for breast implants. There is therefore no risk of implant rupture or appearance of retractile fibrous shells, the implants are placed for life.

During the operation Dr. Panayi, uses the implant to fill and replace the pectoralis major muscle, thus enabling the thorax to be symmetrical and, in women, the breast as well. It is set up through an axillary approach, so that the scar is almost invisible. The surgery takes place under general anaesthesia and lasts in less than 1 hour and presents minimal risks. The duration of hospitalisation is 3 days. The procedure offers excellent surgical outcomes with little pain which can be treated with simple analgesics. No post-operative care is required as stitches are resorbable. Follow‑up consultation sessions are always scheduled after the operation to ensure patients are recovering well and evaluate results. In women, if desired, a breast augmentation with silicone implants can be carried out 6 months after the operation.

An innovative company with international presence, AnatomikModeling, is the result of 10 years of research and development, in close collaboration with the Department of Plastic, Reconstructive, and Aesthetic Surgery of Rangueil Toulouse University Hospital and the Department of Thoracic Surgery of Larrey Toulouse University Hospital.

International Center of Excellence in Greece

Dr. Panayi’s expertise and reputation attracts numerous patients from all over the world every year. Concentrating expertise, experience, and resources, we have created the 1st specialized international center of excellence for the treatment of thorasic deformities in Greece.

The treatment of breast asymmetry caused by thoracic deformity, such as Pectus Excavatum or Poland Syndrome should be targeted around the correction of chest malformation without any risks to the patient’s health. Breast asymmetry correction can be achieved with the placement of a custom-made thoracic implant restoring balance and needs to be carried out by an experienced surgeon able to successfully combine a combination of techniques that best suit each patient.

Dr. Panayi, in an exclusive collaboration with the university hospital of Toulouse and AnatomikModeling, is able to provide an innovative, progressive and minimally invasive treatment to patients from around the world in Greece. AnatomikModeling designs and develops custom-made implants that fit perfectly each patient’s anatomy for an optimally aesthetically pleasing result. The 3D custom-made silicone implants are computer-designed from a medical scan of each patient’s body. The implants are made in medical polymerised silicone and not as a silicone gel as it is the case for breast implants. There is therefore no risk of implant rupture or appearance of retractile fibrous shells, the implants are placed for life.

AnatomikModeling, an innovative company with international presence and years of research and development, in close collaboration with the Department of Plastic, Reconstructive and Aesthetic Surgery of Rangueil Toulouse University Hospital and the Department of Thoracic Surgery of Larrey Toulouse University Hospital, specializes in the treatment of Pectus Excavatum and Poland syndrome. The fact that the company has chosen to collaborate with Dr. Panayi is a testament to the quality of his work.

Information for Travelling Patients

Dr. Panayi is able to hold phone and virtual consultations at a pre-scheduled time with patients from abroad. Our staff is available to advise and assist you with all necessary arrangements prior to your trip.  Learn more.