Dr. de Chalain will take a detailed history and perform a physical examination to understand your chest wall structure. Imaging or breathing tests may be arranged to guide treatment planning. This is also an opportunity to discuss your goals and expectations. In some cases, more than one consultation may be recommended to ensure the best approach.

As chest wall surgery is performed under general anaesthetic, you’ll need to abstain from food and drink for a set period beforehand. Dr. de Chalain will review your medications and may advise adjustments to reduce surgical risks. Stopping smoking and maintaining general fitness will support your recovery. You’ll also be advised on how much time to plan away from work, school, or sport.

The surgical approach depends on the condition being treated. For pectus excavatum, techniques such as the Nuss procedure (placing a curved bar behind the sternum) or the Ravitch procedure (reshaping cartilage and repositioning the sternum) may be used.

For pectus carinatum, most patients—if seen early during the adolescent growth spurt (approximately 11–14 years of age)—can be managed conservatively with a chest brace. Surgical treatment involves correcting the protrusion and stabilising the chest wall by altering the shape and projection of the rib cartilages.

Isolated rib anomalies may be reshaped or removed. All procedures are performed under general anaesthetic, with the aim of creating a balanced and functional chest contour.

Following surgery, you’ll be closely monitored as you wake from anaesthetic. Pain relief will be provided, and in some cases drains may be placed to prevent fluid build-up. Most patients remain in hospital for several days so that breathing, heart function, and comfort can be supported during the initial recovery period.

You can expect some chest discomfort, which will improve gradually and can be managed with prescribed pain relief. Activity will be limited for the first few weeks, with heavier exertion and contact sports avoided until your surgeon advises it is safe. Gentle movement and breathing exercises may be recommended to help your chest adjust to its new shape. Most patients return to school, work, or lighter activities within 4–6 weeks.

Regular follow-up is an important part of your care. At these appointments, Dr. de Chalain will check the healing of your chest wall and incisions, monitor your breathing and heart function, and advise when you can safely return to normal activity. Any sutures or support garments will also be reviewed. Longer-term follow-up may be recommended to ensure the best functional and aesthetic outcome.