Winged Ribs: An Underestimated Problem That May Compromise Breast Augmentation Outcomes
Chest wall shape is an important aspect to consider when planning a breast augmentation. Minor chest wall deformities are usually underestimated by the patient and surgeon and may compromise postoperative outcomes. Lower costal cartilage dysmorphia or winged rib is one of these minor underestimated chest wall deformities characterized by a visible and palpable cartilaginous prominence under the inframammary fold and causes discomfort in patients decreasing the satisfaction with the breast augmentation surgery. For these patients, the author utilized an innovative surgical technique that allows resection of the protruding cartilages and placement of breast implants through the same surgical incision. Six patients with winged ribs underwent breast augmentation and costal cartilage resection via this method and there were no intraoperative or early postoperative complications, and all patients were satisfied with the aesthetical result after 6 months of follow-up. The presented surgical technique has a short learning curve with excellent postoperative results. Cases are presented to demonstrate the improved postoperative chest wall contour combined with breast augmentation outcome.
Level of Evidence IV This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.
KeywordsWinged ribs Breast augmentation Chest wall deformities Thoracic wall contour
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflicts of interest to disclose.
Human and Animal Rights
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
For this type of study, informed consent is required; all the participants gave their informed consent in writing for the study.
- 1.Plastic Surgery Statistics (2018) American Society of Plastic Surgeons. Agost. https://www.plasticsurgery.org/documents/News/Statistics/2018/plastic-surgery-statistics-report-2018.pdf. Accessed Aug 2018
- 5.Acastello E, Garrido P (2009) Congenital chest wall malformations: 22 years experience in a childrens center. Rev Med Clin Condes 20(6):758–767Google Scholar
- 7.Acastello E(2006) Patologías de la pared torácica en pediatría. Editorial El Ateneo, Buenos AiresGoogle Scholar
- 8.Eduardo Acastello PG (2011) Congenital malformations of the torácica wall. buenos airesGoogle Scholar