Q: Dr. Eppley, I am a 32 year-old male that has Poland’s syndrome and am interested in pectoral implants. Can you fix my chest?
A: I can see from your pictures that you have a mild case of Poland’s that has affected the right side of your chest. The right pectoralis muscle is a little bit smaller and the nipple-afeolar complex on the right side is a little higher. I suspect that when you raise your right arm, compared to the left side, that the asymmetry between your chest sides becomes even more apparent. There are two approaches you can use for your improving the appearance of your Poland’s chest deformity. One approach is to just place a small pectoral implant on the right side with a nipple lowering procedure. Fat injection grafting as opposed to an implant can also be used although it is less reliable than an implant in terms of permanent volume. A second approach is to enhance both sides of the chest with pectoral implants (right bigger than left) with a right nipple lowering procedure. The choice between the two depends on how you view the normal left side of our chest. If you are happy with it, then you go with the first approach. If you are looking for improvement on both sides, then you go with the second approach.
Dr. Barry Eppley