The pectus archive

Ten years of writing about a chest
that wouldn't sit right.

Everything I have published on pectus excavatum, carinatum and rib flare - written from correcting my own chest, and from a decade of coaching other people through theirs.

Articles
73
Words
183k
Sources cited
586
Topics
10
Vacuum bell therapy applied to an adult chestLatest · published Apr 2026
Vacuum Bell

Pectus Excavatum in Adults: What Is Still Possible at 25+

Your growth plates are closed, so what still works? What an adult chest can and cannot do, what the evidence says about correction after 25, and where to start.

8 min

24 of 73 articles

Vacuum bell therapy applied to an adult chestVacuum Bell

Pectus Excavatum in Adults: What Is Still Possible at 25+

Your growth plates are closed, so what still works? What an adult chest can and cannot do, what the evidence says about correction after 25, and where to start.

8 min
Cryo After Nuss Procedure: Benefits, Risks & MoreSurgery

Cryo After Nuss Procedure: Benefits, Risks and Cost

Cryoablation freezes the intercostal nerves during a Nuss repair to cut post-op pain and opioid use. What the research shows, and what recovery is really like.

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Postoperative Supplies For Home Recovery After Pectus SurgerySurgery

Pectus Surgery Recovery: What to Buy Before You Go Home

In this post, we'll investigate the must-have supplies to make your home post pectus surgery recovery as smooth and comfortable as possible.

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A 3D rib cage with a ring encircling it at the level of the lower ribsHealth Problems

How To Prevent Pectus Excavatum Recurrence After Surgery

A corrected chest can drift back after the bar comes out. What the recurrence data actually shows, and the habits that hold the result in place.

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How To Fix Flared Ribs: Causes, Exercises & MoreBreathing

Flared Ribs: How to Fix Them, Causes and Exercises

Flared ribs are a breathing problem before they are a bone problem. How to tell which kind you have, what closes the flare, and what took mine down.

17 min8 src
A 3D weight bench in blue with a loaded barbell and dumbbells around itBreathing

Top 10 Pectus Excavatum Exercises: Mistakes + Tips

The exercises that change how a sunken chest looks, and the ones that make it worse. What to train, what to stop doing, and how long before it shows.

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A 3D rib cage with the lower ribs glowing red where the pain sitsHealth Problems

Pectus Excavatum Pain In Chest, Back, Rib: How To Cope

Not everyone with pectus excavatum experiences pain, but for those with severe cases, it can be a constant struggle. The pain often intensifies as the

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Pectus Excavatum Surgery: Cost, Risk, Before & AfterSurgery

Pectus Excavatum Surgery: Cost, Risk, Before and After

What the Nuss and Ravitch operations involve, what they cost, the real risks, and how to judge whether you need surgery at all. Written by someone who did not.

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101 Celebrities With Pectus Excavatum: Videos & PhotosLifestyle

101 Celebrities With Pectus Excavatum: Photos and Video

From royalty to YouTubers, 101 famous people with a sunken chest, male and female, with photos and clips that show it. You are in more company than you think.

24 min
A 3D yoga mat unrolled on the floor beside a small desk and monitorExercises

7 Proven Benefits Of Pectus Excavatum Yoga: I Love It

Which yoga poses open a sunken chest and improve pectus posture, which ones make the flare worse, and how to build a short daily sequence you will actually do.

10 min10 src
A 3D vacuum bell seen face-on with its hand pump and tubeVacuum Bell

Vacuum Bell: What It Is, How It Works, Risk & More

The vacuum bell lifts a sunken sternum with suction, over months rather than weeks. How it works, who it suits, what it costs, and what results are realistic.

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What Is Pectus Excavatum? How To Improve & MorePectus 101

What Is Pectus Excavatum, and How Do You Fix a Sunken Chest?

Pectus excavatum is a sunken chest, where the breastbone grows inward. What causes it, how to tell how severe yours is, and how to fix it without surgery.

18 min
A 3D heart with crossed-out eyes beside a yellow warning triangleHealth Problems

Pectus Excavatum Heart Problems: Murmur, Tamponade

A sunken sternum can press on the heart and shift it left. What that does to rhythm and output, which symptoms are worth a cardiologist, and which are not.

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Pectus Excavatum Anxiety: 3 Simple Coping TipsBreathing

Pectus Excavatum Anxiety: 3 Coping Tips That Worked

The anxiety that comes with a sunken chest is well documented and rarely treated. What the research found, and the three things that helped me most.

7 min5 src
7 Proven Causes Of Pectus Excavatum + Exact CausePectus 101

What Causes Pectus Excavatum? The 7 Proven Causes Explained

The exact cause of pectus excavatum is still unknown, but seven contributors are well evidenced. Genetics, connective tissue, growth and what none of it means.

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A 3D head in profile, the brain exposed and ringed by orbiting lines and lightning boltsHealth Problems

Psychological Impact Of Pectus Excavatum: How To Deal

The psychological cost of pectus excavatum is bigger than the physical one for most people. What the studies found, and what helped me live with it.

11 min7 src
A 3D pair of lungs with the windpipe capped by a red crossHealth Problems

Pectus Excavatum Shortness Of Breath: Signs & Tips

Shortness of breath is the symptom that sends most people to a doctor. Why a sunken chest causes it, when it is serious, and what genuinely improves it.

7 min5 src
12 Pectus Excavatum Symptoms: Physical & MentalHealth Problems

12 Pectus Excavatum Symptoms: Physical and Mental Signs

The twelve symptoms of pectus excavatum that come up again and again, physical and mental, and which of them actually get better without surgery.

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A 3D rib cage with a stitched implant filling the hollow beside the sternumLifestyle

Pectus Excavatum Implants: 5 Types, Benefits & Cost

Implants fill a sunken chest instead of correcting it. What the operation costs, how the result holds up over time, and who should consider it at all.

7 min4 src
Pectus Excavatum Life Expectancy: 10 Years Lower?Pectus 101

Pectus Excavatum Life Expectancy: Is It 10 Years Lower?

What an uncorrected sunken chest does over decades: breathing, heart function, posture, pain and psychological load. What the long-term research actually says.

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10 Easy Ways To Build Pectus Excavatum ConfidenceLifestyle

10 Easy Ways To Build Confidence With Pectus Excavatum

Confidence with a sunken chest is built, not waited for. The ten things that moved the needle for me, and the one that mattered more than the rest.

10 min8 src
A 3D female symbol in pink with a pixel-art chest inside the ringBreathing

Women With Pectus Excavatum: How To Improve & More

The lack of web publications for pectus excavatum in women was my biggest motivation to write this. I stumbled upon many women with sunken chests looking for

8 min9 src
A 3D baby's pacifier, pink teat and blue shieldPectus 101

Pectus Excavatum In Kids & Babies: Symptoms & More

Pectus excavatum in babies and young children: how early it shows, what a paediatrician will and will not do about it, and when treatment actually starts.

6 min5 src
A 3D bra rendered in blueLifestyle

10 Bras For Pectus Excavatum: Size, Cost, Tips & More

Finding a bra that fits over a sunken chest is its own problem. Which styles sit flat against the gap, what to avoid, and where women with pectus buy them.

9 min2 src
A 3D pair of lungs with a loaded barbell resting across the windpipeBreathing

6 Breathing Exercises For Pectus Excavatum: 6 Pros

Breathing exercises will not lift your sternum, but they change how much air you move. The drills that help with pectus excavatum, and how long they take.

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Dating With Pectus Excavatum: An Honest GuideLifestyle

Dating With Pectus Excavatum: An Honest Guide and My Story

In today's world, social media gives us instant access to countless images of people with seemingly perfect physiques, making it easy to believe they lead

6 min2 src
Haller Index For Pectus Excavatum: Is It Accurate?Pectus 101

The Haller Index: How Pectus Excavatum Severity Is Measured

The Haller index is the number a surgeon uses to grade a sunken chest. How it is calculated, what counts as severe, and why the figure decides very little.

8 min10 src
A 3D heart built from blue blocks set into a pink brick wallPectus 101

Marfan Syndrome & Pectus Excavatum: Tips, Therapy & More

Research proves that 70% of all patients with Marfan syndrome (MFS) have pectus excavatum. The severity of the dent in their chest can worsen with age.

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A 3D rib cage beside a ruler and a pencilLifestyle

How To Measure Pectus Excavatum: Step-By-Step Guide & More

Measure the depth of your chest indentation before you start anything. The two methods I use, what the numbers mean, and how to track them month to month.

2 min
A 3D gloved hand dropping a Nuss bar into a waste binSurgery

What Is Pectus Bar Implant? Removal, Complications & More

The Pectus Bar is an implant inserted underneath the inverted sternum during the Nuss procedure. It is usually made of stainless steel, metal, or titanium.

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Top Pectus Excavatum Braces: Real User OpinionPosture

Top Pectus Excavatum Braces: Real User Opinions and Cost

Braces work on a chest that still bends and do nothing for one that does not. Which braces are worth buying for pectus excavatum, and who they suit.

15 min7 src
A 3D spine seen from the side, showing its forward curvePosture

What Is Pectus Posture: 5 Issues, How I Fixed & More

Pectus posture is the rounded, forward-drawn shape a sunken chest pulls you into. How to spot it in your own photos, and the work that undoes it.

12 min4 src
A 3D pregnancy test showing two linesSurgery

Pectus Excavatum And Pregnancy: Risk, Exercise & More

Although pregnancy is probably the most joyful phase in a woman's life, it can be pretty tricky. For women with pectus excavatum, the pregnancy period can be

5 min4 src
Ravitch Procedure For Pectus Excavatum: A-Z GuideSurgery

Ravitch Procedure For Pectus Excavatum: Cost and Recovery

The Ravitch procedure removes cartilage instead of placing a bar. How it differs from the Nuss, who it is used for now, and what recovery really involves.

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A 3D spine curving sideways in an S shapeHealth Problems

Pectus Excavatum Scoliosis: 7 Problems, Risks + More

Scoliosis is a sideways curvature of the spine that usually occurs in the growth spurt right before puberty hits. According to Mayo Clinic, about 3% of all

11 min18 src
A 3D resistance band looped around an anchor on a boardPosture

8 Pectus Excavatum Stretches: 4 Ways It Helps + More

Stretching will not reshape a chest, but tight tissue at the front makes pectus look worse than it is. The stretches that help, and how often to do them.

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A 3D kitchen scale with food portions in the panLifestyle

How To Gain Weight With Pectus Excavatum: BMI & More

Few people truly understand the problem of being skinny while dealing with a visible pectus excavatum deformity and protruding ribs that show through your

11 min17 src
A 3D skeletal muscle with tendons at both ends, an arrow pointing to where it attachesPectus 101

Chest Muscle Insertions And Pectus Excavatum + More

Uneven chest muscle insertions get mistaken for pectus excavatum constantly. How to tell which one you have, and why the fix is completely different.

3 min5 src
A 3D pair of lungs drawn with radiating lines, a no-smoking sign beside the windpipeBreathing

Improve Lung Capacity With Pectus Excavatum: Exercise

Pectus excavatum can lower lung capacity. The good news is that you can improve VO2 max with exercises. Check this out to learn how to do this.

6 min7 src
A 3D condom with a Nuss bar strapped around itSurgery

Sex After Nuss Procedure: How Long To Wait + Question

According to research, you can have sexual intercourse 5-6 weeks after Nuss procedure. Follow your surgeon's guides to learn how to deal with this.

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Can Pectus Excavatum Worsen With Age?: What To DoHealth Problems

Can Pectus Excavatum Worsen With Age? What To Do About It

Pectus excavatum can worsen with age. Usually, the sunken chest starts progressing rapidly during puberty. You can do things to stop this process.

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A 3D Nuss bar with curved arrows showing it rotating out of positionHealth Problems

Bar Movement After Nuss Procedure: Should You Worry?

The Nuss bar movement in the chest can be normal. However, if you are worried, and it causes you major discomfort, please contact your surgeon.

3 min2 src
A 3D rib cage with surgical scissors crossed over the sunken sternumPectus 101

Does Pectus Excavatum Go Away On Its Own?: What To Do

All data shows that pectus excavatum can't go away on its own. If you want to improve it, you must find a non-surgical or surgical solution for it.

2 min3 src
A 3D vacuum bell tilted on its side with the hand pump and tube attachedVacuum Bell

How To Use Vacuum Bell: First Therapy, Phases & More

This article explains everything you need to know about the first vacuum bell treatment in your life, what to do next in the following months and more.

33 min11 src
A 3D vacuum bell behind a child's numbered building blocksVacuum Bell

Vacuum Bell Therapy For Kids, Ideal Age, Tips & More

Scientific research proves vacuum bell therapy can improve the pectus excavatum deformity in children. In some kids, there is no need for surgery.

6 min7 src
A 3D vacuum bell and hand pump with a hammer and wrench behind themVacuum Bell

How To Make Cheap DIY Vacuum Bell, Materials & More

Building a homemade vacuum bell can save you a lot of money. However, you probably won't be able to make it the first time. It can also be unsafe.

5 min8 src
How To Choose Vacuum Bell Size + Photos & MoreVacuum Bell

Vacuum Bell Sizing: How to Choose the Right Size for You

Measure your chest before you buy. How to pick between the vacuum bell sizes, what happens if you size wrong, and the measurements to send the manufacturer.

5 min3 src
A 3D shopping bag with a vacuum bell inside and a dollar sign on the sideVacuum Bell

Where To Buy Vacuum Bell: Top 5 Sellers, Tips & More

Buying a vacuum bell can be very complicated. There are not many options you can choose. In this post, I listed five proven manufacturers that work

14 min18 src
A 3D spine beside a heart trailing an ECG traceHealth Problems

PoTS And Pectus Excavatum: Can Surgery Help? + More

Many people with pectus excavatum also have PoTS and never find out, because the symptoms overlap almost exactly. How to tell them apart, and what treats it.

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Clothing Tips For Pectus Excavatum: What To AvoidLifestyle

Clothing Tips For Pectus Excavatum: What To Avoid and Wear

Pectus excavatum can even be visible if you wear clothes. Stop wearing tight clothing that makes flared ribs pop out of your shirt. Find out more.

5 min2 src
A 3D rib cage with a stitched silicone implant filling the hollow beside the sternumSurgery

Anatomik Modeling Surgery, A-Z Review: Risks & More

The Anatomik Modeling surgery is recommended only if the patient doesn't have heart or lung problems caused by the pectus excavatum deformity.

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Pectus Excavatum And Sleep Apnea: Symptoms & MoreBreathing

Pectus Excavatum And Sleep Apnea: Symptoms and Treatment

There is a lack of evidence that pectus excavatum causes sleep apnea. However, many people on pectus forums say that they experience this daily.

4 min8 src
A 3D rib cage with a metal plate bridged across the sternumSurgery

Pectus Up Surgery: Ultimate: Guide + Cost, Risk & More

The Pectus Up surgery is a new procedure to fix pectus excavatum. The surgery is done in Europe and South America. It is minimally invasive.

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Top 24 Pectus Excavatum SurgeonsSurgery

Top 24 Pectus Excavatum Surgeons, by Country and Region

After I researched various forums about pectus excavatum, the 24 surgeons that were recommended the most by patients are shared in this article.

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A 3D rib cage with a cracked, reddened sternum and an arrow pointing at itHealth Problems

Sternum Popping And Pectus Excavatum: 5 Causes + Tip

A sunken sternum pops and cracks, usually after chest training or a long stretch of sitting. The five causes worth knowing, and when it needs a doctor.

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Pectus Excavatum Nutrition: 4 Basics, Tips & MoreLifestyle

Pectus Excavatum Nutrition: 4 Basics for Gaining Weight

Nutrition is essential for people struggling with sunken chests. It helps people reach optimal mind and body performance. Please, pay attention to it.

7 min10 src
Pectus Carinatum Brace Treatment: Cost & MorePectus Carinatum

Pectus Carinatum Brace Treatment: Cost, Time and Results

Patients with pectus carinatum can successfully correct their deformity with braces in 2024. This is a proven method that has been used since 1977.

8 min5 src
A 3D pair of lungs with an asthma inhaler in front of themBreathing

Pectus Excavatum And Asthma: Risk, Inhalation & More

Pectus excavatum and asthma together make breathing harder than either one alone. How to tell which is limiting you, and what actually eases the symptoms.

9 min4 src
A 3D chest compression brace with two padded plates and a pressure gaugeBracing

Dynamic Remodeling Method: Fix Pectus Non-Surgically

The Dynamic Remodeling method is scientifically proven to improve pectus deformities by combining compression bracing and special exercises.

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A 3D seesaw tipped out of balance, a sphere on the raised end and a cube on the lowered onePectus Carinatum

Asymmetrical Pectus Carinatum + Upper, Lower & More

Pectus carinatum can vertically appear either in the upper, middle, or lower part of the chest wall or be asymmetrical or symmetrical horizontally.

6 min5 src
A 3D bedroom seen from above, a spine marked in green dots lying along the mattressPosture

Best Sleeping Position For Pectus Excavatum + Tips

Sleeping on the back, with three pillows supporting your spine, while laying on a firm surface such as the floor is ideal for pectus excavatum sufferers

5 min8 src
A 3D female symbol with a pixel-art chest inside the ringPectus Carinatum

Pectus Carinatum In Women: Treatment, Clothing & More

Pectus carinatum also affects women, leading to self-consciousness and other issues. In 2024, there is lack of info for females with this deformity.

6 min9 src
Two 3D surgical-gloved hands holding a curved Nuss bar by both endsSurgery

Nuss Procedure For Pectus Excavatum: Essential: Guide

The Nuss surgery for pectus excavatum is the most widely used procedure to repair the deformity. This article includes all you need to know about it.

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A 3D seesaw tipped out of balance, a cube on the lowered end and a sphere on the raised oneExercises

Asymmetric Pectus Excavatum & Chest Muscles: 8 Steps

Many people have asymmetrical pectus excavatum and uneven chest muscles. We fix this by following an 8 step process. People make 5 mistakes.

7 min2 src
A 3D surgical scar closed with four stitchesSurgery

Pectus Excavatum Surgery Scar: 5 Tips To Heal Better

Some patients consider the surgical scar to look worse than the previously sunken chest. Talking with your surgeon about this is very important.

7 min5 src
A 3D octagonal cage fighting ringLifestyle

Pectus Excavatum And MMA, 11 Fighters + Gassing Out

MMA or other full-contact fighting sports like boxing, kickboxing, or wrestling concerns people with sunken chests. Can you take a hit to the sternum?

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13 Science-Backed Causes Of Pectus CarinatumPectus Carinatum

13 Science-Backed Causes Of Pectus Carinatum, Explained

As of 2024, the exact cause of pectus carinatum is still unknown. There are 13 other causes science has shown connection to pectus carinatum.

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A 3D spine seen from the side with an arrow curving forward at the lower backExercises

Pectus Excavatum Pot Belly: What It Is + Treatment

The pot belly appearance affects a lot of us with a sunken chest. Usually, it's not body fat but muscular imbalance that can cause many problems.

8 min4 src
Pectus Excavatum And Smoking: 10 Reasons To QuitLifestyle

Pectus Excavatum And Smoking: 10 Reasons To Quit Today

Read why smoking cigarettes and sunken chest is a terrible combo. It will limit lung and exercise capacity, bone health, well-being, & much more.

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A 3D weight bench with a loaded barbell and a pair of dumbbellsPectus Carinatum

Top 12 Pectus Carinatum Exercises: A-Z Guide + Tip

Performing the exercises I will show in this post will improve your overall physical appearance and pectus carinatum deformity. People train wrong.

21 min5 src
A 3D rib cage seen through half-closed window blindsLifestyle

8 Ways To Hide Pectus Excavatum: Extra Tips + More

Even though hiding your pectus excavatum deformity can help you in the short term, it is an unhealthy way to live. It is best to embrace the deformity

7 min3 src
A 3D scroll of written lines with a quill pen resting on itLifestyle

Pectus Excavatum Success Story: 13 Valuable Lessons & More

Check out this pectus excavatum story in this article. I did an interview with Edward Peterson who is my friend and fixed the deformity surgically.

8 min
Top 3 Pectus Excavatum Bodybuilding ExercisesExercises

Top 3 Pectus Excavatum Bodybuilding Exercises for Mass

Improve your pectus excavatum and flared ribs deformity with these three bodybuilding exercises. Hide the dent by building muscles around it.

2 min

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