Computer-aided design and manufacturing of custom-made elastomer implants leads from a CT scan to fill in with precision, a congenital chest wall congenital deformity, both bone (pectus excavatum) and muscle (Poland Syndrome), resulting in a natural repositioning of the breasts. We report our 25 years' experience in 301 women (234 Pectus+64 Poland). Parietal correction must always be done in first intention. It is common to have to carry out a second stage in women with an additional mammaplasty especially in the presence of insufficient glandular volume or a fairly frequently associated tuberous breast.
Keywords: Asymétrie mammaire; Breast asymmetry; Computer-aided design; Computer-aided manufacturing; Conception assistée par ordinateur; Custom-made implants; Fabrication assistée par ordinateur; Implants de silicone; Implants sur mesure; Pectus excavatum; Poland syndrome; Seins tubéreux; Silicone Implants; Tuberous breasts.
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