Dr Vincent Nguyen is a French board-certified plastic surgeon expert and referent in breast and chest deformities (Poland syndrome, pectus excavatum …)
Poland syndrome is a chest and breast deformity that is still not well known. It may have an impact on patient’s self-confidence and social life as it is a visible condition.
Recently, lipofilling and custom-made implants have revolutionized the Poland syndrome treatment, making the surgery simpler and faster. The result is natural and without sequels.
The Poland syndrome treatment may be considered as a reconstructive chest surgery.
This information sheet is issued by Dr. Vincent Nguyen, board-certified plastic surgeon in Paris, expert in the treatment of Poland syndrome.
It provides all the information about the surgery, scars, recovery, before and after comparison photographs, Social Security coverage and the costs of a Poland syndrome treatment.
What is a Poland syndrome?
It is a very rare condition (1 case in 30000 births), without known cause, characterized by the absence or underdevelopment of pectoralis major muscle, in men or in women.
It may be associated with ribs deformities, underdeveloped muscles on the chest and back (pectoralis minor muscle, latissimus dorsi muscle …) breast deformities (in mammary gland and nipple-areola complex) and also with homolateral hand.
In most cases women complain about breast deformity and men about chest deformity.
The syndrome varies in severity. Each patient is unique and needs a unique treatment.
What are the treatments for a Poland syndrome?
Treatment of Poland syndrome is determined by the severity of the abnormalities:
May different treatments be associated?
It is often necessary to combine different treatments. For example custom-made implants and lipofilling.
What is the specific characteristic of Poland syndrome treatment for women?
Correction of breast deformity is the main request for women. Yet, it is very important to address chest deformity first, to improve the esthetic result.
What are indications for a correction of chest deformity with custom-made implants?
Chest deformities may all be treated with custom-made implants produced by computer-aided design (CAD).
How is the implant designed?
The implant is made with computer-aided design (CAD). The computer designs a 3D model from a patient’s CT scan. A customized implant is then made with silicone polymer in Sebbin lab.
What is the implant made of?
The chest implant is made of solid silicone not of gel silicone. It is a highly stable material which doesn’t degrade and has an unlimited life span. The implant won’t have to be replaced.
What are the advantages of a customized implant?
Custom-made implant conforms to the patient’s unique morphology and defects. The implant is invisible and the esthetic benefits are immediate.
BEFORE A POLAND SYNDROME PROCEDURE WITH CUSTOM-MADE SILICONE IMPLANT:
POLAND SYNDROME PROCEDURE WITH CUSTOM-MADE SILICONE CHEST IMPLANT SURGERY:
AFTER A POLAND SYNDROME PROCEDURE WITH CUSTOM-MADE SILICONE CHEST IMPLANT:
Where are the scars with a custom-made implant?
The scars depend on the malformation. Usually there is a scar below the breast or in the armpit. The scars fade over time and they become almost invisible.
What are the alternatives to custom-made chest implant?
Lipofilling may be an alternative to correct a mild defect. The patient must have enough fat stock.
Chest reconstruction with latissimus dorsi flap may also be an alternative.
Can implant procedure be combined with lipofilling?
Lipofilling may be associated with chest implant. There also might be a second lipofilling later to improve the result.
Can I have a breast augmentation with implant after a custom-made chest implant procedure?
Yes, you may have a breast augmentation with implant or with lipofilling after a Poland syndrome treatment but not at the same time. You will have to wait about 6 months after the first procedure.
Can I have a custom-made chest implant procedure after another treatment (lipofilling, breast implant, or latissimus dorsi flap)?
Yes, it is very common to have a custom-made implant procedure if the results of the first procedure are not fully satisfying.
As it is customized, the implant conforms to the chest transformation. The surgeon uses the existing scars and doesn’t make new ones.
How long will I have to wait between the consultation and the surgery?
It requires about 2 months to have a customized implant made.
Has Poland syndrome functional consequences?
No, Poland syndrome doesn’t affect chest or upper limbs mobility and it has no effect on respiratory functions.
Does Poland syndrome psychologically affect patients?
Sometimes, the deformities are such, that patients consider their condition as a physical disability. The psychological impact prevents them from being bare chested in public or in private and they often have no self-confidence.