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{"id":2226,"date":"2025-08-26T11:12:25","date_gmt":"2025-08-26T09:12:25","guid":{"rendered":"https:\/\/micheldelpe.ch\/chirurgie-esthetique\/thorax-en-entonnoir\/"},"modified":"2025-11-27T12:02:27","modified_gmt":"2025-11-27T11:02:27","slug":"thorax-en-entonnoir","status":"publish","type":"page","link":"https:\/\/micheldelpe.ch\/en\/chirurgie-esthetique\/thorax-en-entonnoir\/","title":{"rendered":"Treatment of Funnel Chest"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Key Advantages<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Computer-assisted pectus excavatum surgery provides a personalized correction tailored precisely to your anatomy.<\/li>\n\n\n\n<li>Reliable and effective surgical treatment for women is now available.<\/li>\n\n\n\n<li>Minimally invasive chest wall surgery with a discreet 5 cm scar located under the breast.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Principles of Funnel Chest Treatment<\/h2>\n\n\n\n<p>Pectus excavatum, commonly referred to as funnel chest, is the most frequent congenital deformity of the anterior chest wall. It involves a depression of the central chest (sternum), often combined with excessive curvature of the costal cartilages. Although typically not functionally limiting, it can cause considerable psychological and aesthetic distress.<\/p>\n\n\n\n<p>This condition affects around 1% of the population\u2014mostly males\u2014and usually becomes apparent during growth. According to Chin&#8217;s classification, pectus excavatum is divided into three types:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Type 1:<\/strong> Symmetrical depression limited to the sternum.<\/li>\n\n\n\n<li><strong>Type 2:<\/strong> Symmetrical deformity involving the pectoral areas.<\/li>\n\n\n\n<li><strong>Type 3:<\/strong> Asymmetrical deformity extending to the pectoral muscles.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Surgical Options<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">1. Sternochondroplasty<\/h3>\n\n\n\n<p>Performed by thoracic surgeons, this involves cutting and restructuring the costal cartilage and sternum, often stabilized with titanium plates. It&#8217;s a major, painful procedure reserved for patients with significant respiratory issues. The less invasive <strong>Nuss procedure<\/strong>, which places a convex titanium rod to elevate the sternum, is sometimes used in adolescents (ages 13\u201318) but is increasingly rare in France.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. Custom-Made Silicone Prosthesis<\/h3>\n\n\n\n<p>This is our main technique, designed for patients primarily concerned with aesthetics. A solid silicone implant\u2014custom-designed via 3D imaging from a high-resolution CT scan\u2014is inserted either beneath the skin or under the pectoral muscles. Manufactured by\u00a0 IMPLANTECH designed by ANATOMIK MODELING, these durable implants are non-liquid and cannot rupture.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">3. Lipofilling (Fat Injection)<\/h3>\n\n\n\n<p>Used occasionally for mild deformities, lipofilling involves fat grafting and requires multiple sessions as well as adequate fat reserves\u2014conditions rarely met in slim, athletic individuals.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Technological Advances<\/h2>\n\n\n\n<p>Traditional methods used plaster molds to shape implants, which posed limitations, especially in women or for asymmetrical deformities (Type 3). Today, we rely entirely on 3D models created from volumetric CT scans, allowing us to craft implants with millimeter precision.<\/p>\n\n\n\n<p>Once fabricated, the implant is inserted under endoscopic guidance. It is typically placed beneath the skin over the sternum and under the pectoral muscle on the sides. Thanks to 15+ years of experience and hundreds of successful cases, we\u2019ve refined our approach:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>No central abdominal scars\u2014just one small incision beneath the right breast.<\/li>\n\n\n\n<li>We no longer suture the pectoral muscles in the center, avoiding visible muscle contractions.<\/li>\n\n\n\n<li>The lower edge of the implant is stabilized under the rectus abdominis muscle sheath.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Practical Information<\/h2>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"800\" src=\"https:\/\/micheldelpe.ch\/wp-content\/uploads\/2025\/08\/Traitement-des-thorax-en-entonnoir-par-prothese-silicone-sur-mesure.webp\" alt=\"Traitement des thorax en entonnoir par prothese silicone sur mesure\" class=\"wp-image-1192\" srcset=\"https:\/\/micheldelpe.ch\/wp-content\/uploads\/2025\/08\/Traitement-des-thorax-en-entonnoir-par-prothese-silicone-sur-mesure.webp 800w, https:\/\/micheldelpe.ch\/wp-content\/uploads\/2025\/08\/Traitement-des-thorax-en-entonnoir-par-prothese-silicone-sur-mesure-300x300.webp 300w, https:\/\/micheldelpe.ch\/wp-content\/uploads\/2025\/08\/Traitement-des-thorax-en-entonnoir-par-prothese-silicone-sur-mesure-150x150.webp 150w, https:\/\/micheldelpe.ch\/wp-content\/uploads\/2025\/08\/Traitement-des-thorax-en-entonnoir-par-prothese-silicone-sur-mesure-768x768.webp 768w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<h3 class=\"wp-block-heading\">Preoperative Steps:<\/h3>\n\n\n\n<p>A pre-anesthesia consultation is required at least 48 hours before surgery.<\/p>\n\n\n\n<p>A consultation with your surgeon is necessary to explain the procedure, risks, and expectations.<\/p>\n\n\n\n<p>You\u2019ll undergo a thoracic CT scan and receive a quote from IMPLANTECH designed by ANATOMIK MODELING.<\/p>\n\n\n\n<p>A custom compression garment will be prescribed.<\/p>\n\n\n\n<p>The implant design and production take about 1 month after scan analysis.<\/p>\n\n\n\r\n<!-- Block - FAQ -->\r\n<section class=\"faq-block\" style=\"\">\r\n            <h2>Questions &#038; Answers<\/h2>\r\n                <div class=\"faq-list\">\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">What complications can occur?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <ul>\n<li><strong>Hematoma<\/strong>: Rare but may occur within 48 hours, requiring return to the OR.<\/li>\n<li><strong>Infection<\/strong>: Occurs in less than 1% of cases; treated with implant removal and antibiotics.<\/li>\n<li><strong>Lymphatic effusion<\/strong>: Almost all patients experience fluid accumulation within 10 days due to disrupted lymph channels. This typically requires 2\u20134 aspiration sessions.<\/li>\n<li><strong>Visible implant edges<\/strong>: Can occur in very lean patients and may be corrected later via fat grafting.<\/li>\n<\/ul>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">What steps should I take before surgery?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <ul>\n<li>Initial consultation with your plastic surgeon.<\/li>\n<li>Thoracic CT scan for custom implant design.<\/li>\n<li>Payment of \u20ac3,000 (implant fee) to initiate manufacturing, which takes approximately 3 months.<\/li>\n<li>Preoperative consultation with the anesthesiologist.<\/li>\n<\/ul>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">Is the procedure covered by insurance?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Yes, the surgery and hospital stay are covered by French social security.<\/p>\n<p>No, the implant cost is not reimbursed. The fee is \u20ac3,000 for a 3D-modeled implant.<br \/>\nSurgeon\u2019s fee of \u20ac3,500 may be reimbursed by your supplemental health insurance.<\/p>\n                    <\/div>\r\n                <\/details>\r\n                            <details class=\"faq\">\r\n                    <summary>\r\n                        <h3 class=\"h4-size\">How much does funnel chest surgery cost?<\/h3>\r\n                    <\/summary>\r\n                    <div class=\"content formatted\">\r\n                        <p>Implant: \u20ac3,000 (not reimbursed)<\/p>\n<p>Surgical fees: \u20ac3,500 (may be partially or fully covered by mutual insurance)<\/p>\n                    <\/div>\r\n                <\/details>\r\n                    <\/div>\r\n    <\/section>\n\n\n<p>To learn more about pectus excavatum treatment on the Anatomik Modeling website, <a href=\"https:\/\/www.anatomikmodeling.com\/fr\/traitement-du-pectus-excavatum\" target=\"_blank\" rel=\"noreferrer noopener\">click here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Key Advantages Principles of Funnel Chest Treatment Pectus excavatum, commonly referred to as funnel chest, is the most frequent congenital deformity of the anterior chest wall. It involves a depression of the central chest (sternum), often combined with excessive curvature of the costal cartilages. Although typically not functionally limiting, it can cause considerable psychological and [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":1571,"parent":2102,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"templates\/domain-single.php","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-2226","page","type-page","status-publish","has-post-thumbnail","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/2226","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/comments?post=2226"}],"version-history":[{"count":0,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/2226\/revisions"}],"up":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/pages\/2102"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/media\/1571"}],"wp:attachment":[{"href":"https:\/\/micheldelpe.ch\/en\/wp-json\/wp\/v2\/media?parent=2226"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}