Skin sparing modified Ravitch repair for pectus excavatum

A 26-year-old woman presented with severe exercise intolerance and pectus excavatum. She had significant sternal depression from ribs 2-6 with rotation to the right and a concomitant saucer deformity of the right anterior chest wall. The patient was evaluated and offered both the Ravitch and the Nuss repair. She chose the Ravitch repair but still had cosmetic concerns. A skin sparing modified Ravitch repair was performed through bilateral infra-mammary incisions with excellent cosmetic results.