Abstract.
Solid customized and prefabricated silicone implants have been used by the author for 15 years in a wide range of chest wall deformities. Chest wall implants are often used in males seeking to augment a muscularly deficient or underdeveloped chest; however, their greatest use has come in a variety of deformities both congenital and acquired, such as pectus excavatum, Poland's Syndrome, and pectoralis muscle tears. The implants can be either customized using a moulage technique or are prefabricated, manufactured implants which can be modified on the operating table to repair the contour deformity. The immediate postoperative problem of seroma and subcutaneous implant ``show'' has been minimized by careful planning, gentle technique, deep insertion, improved patient positioning on the operating room table, and the use of oral anti-inflammatory medications. The long-term results of these implants seem very satisfactory. The patients are usualy physically active, and the implants show no long-term sequelae such as seroma, infection, displacement, or rupture.
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Hodgkinson, D. Chest Wall Implants: Their Use for Pectus Excavatum, Pectoralis Muscle Tears, Poland's Syndrome, and Muscular Insufficiency . Aesth. Plast. Surg. 21 , 7 –15 (1997). https://doi.org/10.1007/s002669900074
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DOI: https://doi.org/10.1007/s002669900074