Pectus Treatment Costs

Initial Pectus Assessment

The first consultation will be an hour-long and will cover the following:

  • An assessment of the severity and type of the patient’s chest deformity
  • An assessment of the flexibility of the patient's chest wall
  • Explanation of LOC’s treatment package (Dynamic Chest Compressor or Vacuum Bell and comprehensive breathing exercise programme)
  • 3D chest scan and photographs

For those patients who wish to proceed with treatment for either pectus excavatum or pectus carinatum, the costs are as follows.

Please note: All fees associated with your treatment are included in the one-off prices listed below. This includes all appointments that may be required for the duration of your treatment.

PRICES

Pectus Treatment

LOCpectus Consultation Fee £192
LOCpectus DCC1 Orthosis £900
LOCpectus DCC2 Orthosis £900
LOCpectus Treatment Contract £1800
Vacuum Bell £900
Vacuum Bell Treatment £720
Please note: Not all pectus patients will require two braces for their treatment.
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FAQS:

This depends on several factors; the position of the chest wall deformity, its severity, the flexibility of the chest, the kind of results wanting to be achieved and the age of the person undergoing treatment for pectus excavatum or pectus carinatum.

Early adolescence (roughly between the ages of 12-16 years old) – is an optimum age to start treatment, given that the chest is still maturing, and flexible, permanent correction is more easily achievable. Once bracing treatment is complete and a patient has stopped growing, the deformity will not return. For younger pectus patients, conservative bracing is used to keep a deformity from worsening and can help them to avoid surgery in later life.

For older pectus patients (between the ages of 20 to 30) results can be harder to achieve, as the costal cartilage hardens into the bone as a person matures. Over the years we have successfully treated many adults for both pectus excavatum and pectus carinatum and active adults with flexible chests can expect good results.

 

Again, this hugely depends on what a patient wants to achieve from treatment; whether that’s avoidance of surgery, improvement in the appearance of the chest shape, reduction in rib flaring etc. All these goals are taken into consideration during your first consultation. While there are no serious health risks of having pectus carinatum or excavatum – beyond the cosmetic – for many patients and parents, treatment outcomes involve improving confidence and self-esteem.  During our 2018 Pectus Patient Survey, 92% of pectus carinatum patients surveyed said that treatment had a ‘major improvement’ or ‘an improvement’ on their social life.

You can read the results of our 2018 Pectus Patient Survey and quality of life questionnaire here.

 

Regular reviews are part of the treatment programme, preferably in clinic with one of our specialist orthotists, or via Skype consultations.

The number of appointments needed will vary from patient to patient but as a general rule, younger pectus patients who are growing at a faster rate will need to be seen more regularly for check-up appointments. This is to ensure that the brace fits well and is guiding the chest into the correct position as growth spurts occur. For other patients, this can be scaled back according to their individual needs and demands.

Regular appointments are beneficial for assessing progress, checking for signs of rubbing and determining whether another brace is needed. Appointments are also good for checking patient compliance to brace wearing and the breathing and exercise programme. At each appointment, we make time for patients to see our physiotherapist to fine-tune their exercise programme and check to see how a patient has been managing with the current programme.

We always advise coming in for appointments whenever you have any concerns about the brace or treatment programme, especially if a brace is rubbing or not fitting correctly. At the London Orthotic Consultancy, we have treated numerous international patients that have benefitted from specially designed braces that leave room to accommodate for growth and that can be adjusted remotely. Follow-up appointments for international patients are conducted via Skype.

 

This is a very common concern for patients considering treatment; in general, the dynamic chest compressor brace is easy to conceal if you are wearing a loose-fitting shirt for school or work. If you are wearing two chest braces – one for the main deformity and the other for rib flaring – then this may be more noticeable, especially under a t-shirt. Normally loose-fitting clothing will conceal the brace, though it’s likely it will be seen through tight-fitting clothes.

 

It is really important to continue exercising while going through bracing treatment. Exercise is fundamental to keeping the chest wall flexible. Our treatment programme incorporates a daily exercise routine of around 30-40 minutes of stretching using yoga poses, resistance bands, deep breathing exercises and general muscle stretches. Deep breathing exercises allow the lungs to expand against the chest wall, pushing it outwards.

Exercising with the brace on in the later stages of treatment can also make the chest correction more stable and permanent.

Swimming is one of the best forms of exercise to complement bracing treatment, as the body positions required to swim imitate the resistance band training designed to stretch the chest and increase its flexibility. Some swimming strokes are better for this than others, please check with your clinician. The brace should always be removed for contact sports and for swimming.

 

For most patients, one brace is often all that is needed to achieve a desired level of correction. They are each designed to last the duration of treatment and accommodate any growth that may occur in that time. Some patients have benefitted from having two braces – one to treat the main deformity and the other to treat rib flaring. For some pectus excavatum patients, having a brace apply pressure to the ribs – in addition to vacuum bell therapy – can greatly reduce the appearance of the depressed sternum area of the chest, forcing it upwards and outwards into a more corrective position.

 

If you are worried about your chest shape, or your child’s chest shape, then get in touch for a free Skype consultation with one of our pectus specialists who can assess their chest and discuss treatment options. We are always happy to communicate with local GPs, thoracic surgeons and consultants if a patient approaches us for bracing treatment after considering other options.

 

More Pectus Information

Non-Surgical Pectus Treatment

LOC's non-surgical treatment for pectus involves the Dynamic Chest Compressor, a custom made orthosis designed for an individual’s anatomy to specifically treat their particular type of pectus. For Pectus Excavatum patients we also prescribe the Vacuum Bell - it works by using a silicone cup and a vacuum pump to create an area of low pressure over the sunken part of the chest.

We manufacture bespoke braces for each patient, ensuring comfort and ease of compliance during treatment.

Pectus Treatment Costs

Information about our assessment and treatment costs for patients wishing to go ahead with non-surgical pectus treatment.

All fees associated with your treatment are included, such as appointments required for the duration of treatment.

LOC offers the opportunity to have a free virtual pectus consultation to examine your chest and your general posture.

 

Free Virtual Consultation

LOC offers the opportunity to have a free virtual pectus consultation to examine your chest and your general posture. 

At this consultation, you will be asked to do various exercises so that one of our specialist pectus clinicians can establish how flexible your chest wall is. Our treatment programme will be explained in detail as patient compliance can be key to a successful outcome.

The consultation will also provide you the opportunity to ask your own questions so you can judge whether LOC’s treatment is appropriate.

Pectus Carinatum Case Histories

Information about our pectus carinatum case histories

The London Orthotic Consultancy has been providing non-surgical pectus treatment since 2010 achieving positive results in our patients.

We are proud to be the pioneers of this treatment in the UK and are happy to share some patient successes for those who have undergone treatment with us

Pectus Excavatum Case Histories

Information about our Pectus Excavatum case histories

The London Orthotic Consultancy has been providing non-surgical pectus treatment since 2010 achieving positive results in our patients.

We are proud to be the pioneers of this treatment in the UK and are happy to share some patient successes for those who have undergone treatment with us

Chest Bracing FAQs

LOC director and pectus specialist, Sam Walmsley, has recorded a series of videos answering our client's frequently asked questions about our pectus treatments and exercise programmes.

For patients who want to avoid surgery, non-surgical pectus treatment can be a great way to achieve a flatter chest, but often, patients are unsure of what treatment involves.

Treatment for Overseas Patients

Our overseas pectus treatment package involves an hour-long initial consultation that will cover an assessment of the severity and type of the patient’s chest deformity, an assessment of the flexibility of the patient's chest wall and explanation of LOC’s non-surgical pectus treatment.

The consultation includes a 3D chest scan and photographs using a specialist app that can capture a 3D scan that we can use to model a bespoke pectus treatment for our patients.

Pectus Carinatum

Pectus carinatum, also known as 'pigeon chest' is a congenital deformity of the anterior chest wall, and occurs when the breast bone is pushed outward by an abnormal overgrowth of cartilage.

Orthotic bracing is proven to be a safe and effective way to provide successful outcomes without surgical intervention.

For patients considering LOC’s non-surgical treatment for pectus carinatum, we offer a free virtual consultation.

Pectus Excavatum

Pectus Excavatum, also known as 'funnel' or 'sunken' chest, is where the breast bone is pushed abnormally inward. 

It is the most common form of congenital chest deformity which tends to become exaggerated during puberty where growth spurts cause the cartilage and bones to grow at a rapid rate.

For patients considering LOC’s non-surgical treatment for pectus excavatum, we offer the opportunity for an initial free consultation via Skype, Facetime or Zoom.