Pectus excavatum

The non-surgical route for a sunken chest.

Your breastbone sits deeper than the ribs around it, so the middle of your chest reads as a dip or a hollow. It's the most common chest-wall difference there is, and for a flexible chest it moves without surgery.

ExcellentRated excellent, 4.9 out of 5

Joined by 1,000+ people fixing their chest without surgery, since 2015

Pectus excavatum - a chest with the sternum sunken below the surrounding ribs
One number tells you whether this is working: the distance from the deepest point of the dip out to the plane of the ribs beside it. Take it once a month, in the same light, at the end of a full exhale. Every case in the log below reports its change in centimetres off that depth.
What it actually is

In plain words.

01

Cartilage, not bone

The costal cartilage - the springy strip joining each rib to the breastbone - grew longer than it needed to and pushed the sternum inward. Cartilage stays pliable for years, which is the whole reason a bell can lift it.

02

It is usually deepest in your teens

A dip that was barely there at ten often deepens fast through a growth spurt. That is also the window where the chest moves most easily, which is why starting early is worth so much.

03

Flexibility beats severity

How deep the dip is matters far less than how much it gives when pressure is applied. A deep but springy chest usually responds better than a shallow rigid one.

What it isn'tIt isn't caused by anything you did or didn't do - not bad posture, not skipping push-ups as a kid, not sleeping face-down. And it isn't automatically a surgical case. Surgery is the right answer for some chests, but in a 278-patient review of vacuum-bell therapy only 15.5% went on to have it, and none from the group that reached an excellent correction.

Why it corrects

Steady lift, for enough hours, over enough months.

A vacuum bell seals against the chest and pulls the sternum outward. Held there for long enough, often enough, the cartilage remodels around the new position rather than springing back to the old one. That's it - there is no trick to it, and the two things that decide the outcome are how flexible your chest is on day one and how many hours a week you actually wear the thing. Training and breathing work hold what the bell gains; on their own they change how the chest looks, but the bell is what moves the sternum.

Patients reviewed
278

A single-centre review of vacuum-bell therapy found chest-wall flexibility and a milder starting depth were the strongest predictors of an excellent correction.

Compliant vs not
28% vs 16%

Patients averaging about 28 hours a week corrected nearly twice as much as those who did not. Weekly hours was the single strongest predictor of success.

Went on to surgery
15.5%

In that same review - and none of them came from the group that achieved an excellent result with the bell.

Every route

Start at the bottom.

These are in order, cheapest first. Each one adds something the one below it doesn't give you. Most people start at 01 and stop wherever their chest stops needing more.

  1. 01The free pectus excavatum planThe whole method written out: what the research shows, who it works for, and a three-phase protocol you can start tonight.AddsEverything you need to begin without owning a single piece of equipment.Free
  2. 02Vacuum bellThe device that does the lifting, built to your chest measurements and shipped to you.AddsThe mechanical part. This is the rung where the sternum actually starts to move.$399
  3. 03Vacuum Bell GuidePressure, session length, weekly hours, skin care, and how to progress each of them without going backwards.AddsA schedule. A bell without one is a gadget you own rather than a treatment you are doing.$29
  4. 04PE Exercise ProgramSixteen weeks of training and breathing, written in gym and home versions.AddsThe muscle and posture that hold the position the bell opens up, and fill out a frame that makes the dip read deeper than it is.$67
  5. 05Pectus Excavatum CourseComing soonThe complete non-surgical method on video, in order, with the reasoning behind every step.AddsBeing shown rather than told - and the judgement calls a written plan cannot cover.$97
  6. 061-on-1 coachingI build your protocol around your measurements and severity, fit your equipment, and rewrite the plan every two weeks.AddsSomeone looking at your chest specifically. You have my WhatsApp between check-ins.$199/mo
Results

Transformations
& Real Stories

Read them by rating, or by what people actually got out of it - the transformations, the honest reviews, and the messages that land in my inbox every week.

500+
Documented Transformations
1,000+
People Helped
11+
Years of Research & Practice
4.9/ 5.0

across 12 rated statements

500+ reviews collected since 2015. Open a bar, a tag or a condition to read the published ones.

What the 4.9 is made of

17 published statements · 500+ collected since 2015

  • read the blog for months before i actually did anything with it. no coach, no brace, just the stuff in the articles done properly. i feel a lot better now and the photos say the rest

    DaniloPE

    Read the blogCroatia 🇭🇷

  • 2 mo

    Two months in and I've put on 3 kg of muscle. My chest doesn't cave the way it used to when I'm standing relaxed, and that alone was worth it.

    MiloPE25

    1-on-1 CoachingGermany 🇩🇪

  • the bell leaves a red ring on your chest the second you take it off, and nobody warns you about that. it fades within the hour and the skin has never been an issue since. 100% satisfied - the sternum sits higher than it has my whole life

    PiotrPE25

    Vacuum BellPoland 🇵🇱

  • 9 mo

    He knows more about this than the two consultants I paid to see, which says more about them than it does about him. Showed my GP the 9 month photos and he asked me for the website. Half a star off because the time zones make the calls a nightmare from Ireland.

    RuairíPE29

    1-on-1 CoachingIreland 🇮🇪

  • 7 mo

    watched the youtube for six years before i spent a single cent. bought the program, did it properly for 7 months, and the only thing i actually regret is the six years

    TanePE26

    PE Exercise ProgramNew Zealand 🇳🇿

  • Had the flare since i was about 14 and just assumed that was my ribcage, permanently. Brace plus the breathing drills and my mrs asked when i'd lost weight. I hadn't lost anything, it's just the ribs sitting where they should now.

    DanielRib Flare27

    Rib Flare BraceUK 🇬🇧

  • 12 mo

    first call he told me straight up itd take a year and id hate months 2 through 5. he was right about both lol. 12 months on and my PC is flat. took my shirt off at the beach in january without doing the whole towel thing

    DimiPC19

    1-on-1 CoachingAustralia 🇦🇺

  • didnt know you could be breathing wrong for 21 years. thats the whole thing right there. flare started going down on its own once i stopped breathing into my shoulders, which is not what i paid for but ill take it

    benjiRib Flare21

    Rib Flare CourseUSA 🇺🇸

  • 4 mo

    the brace is made really good, i wear it under the t-shirt at school and nobody has noticed in 4 months. my mother was crying when we compare the photos. sorry for my english

    NicoPC17

    Pectus Carinatum BraceItaly 🇮🇹

  • ive bought like four programs for this over the years and quit every one of them by week two. finished this one. i think its cus you cant move on until you can actually hold the position, so theres never that thing where you're guessing if youre ready or not

    MateoRib Flare23

    Rib Flare CourseUSA 🇺🇸

  • 6 mo

    My son is 15 and had started keeping a shirt on in the pool, which is how I worked out something was wrong in the first place, because he certainly wasn't going to tell me. He would never have stuck with the brace on his own. It was the fortnightly check-ins that did it - he didn't want to turn up with nothing to report. Six months now and the ridge has visibly come down. He swims without the shirt.

    Noah's mumPC

    Pectus Carinatum BraceUSA 🇺🇸

  • I went in wanting to debunk it, honestly. Started opening the citations one at a time and they were real papers that said what he said they said. That is a depressingly low bar and nowhere else online clears it.

    SanderRib Flare34

    Read the blogNetherlands 🇳🇱

  • logged case+4 kg · 4 months

    every doctor said come back when youre done growing, which is a mad thing to say to a 17 year old whos already miserable about it. did four months of training instead. 4kg on and my t shirts actually sit on something now

    JakePE17

    USA 🇺🇸

  • logged case−1 cm · 8 months

    1 cm off the depth in eight months. I had this filed under things about my body that got decided before I was born, and I'd stopped thinking about it somewhere in my twenties, so being wrong about it has been a strange few months honestly.

    VincentPE + Rib Flare36

    France 🇫🇷

  • logged case+5 kg · 6 months

    i was the skinny kid who kept his top on at the beach every single year. 6 months, 5kg heavier. took it off in ibiza this summer and genuinely forgot to be weird about it until we were leaving

    CallumPE17

    UK 🇬🇧

  • logged case−0.5 cm · 5 months

    bump is 0.5cm down in 5 months. bro i genuinely thought this was gonna be bench press for a year, its like 80% breathing drills and posture stuff. wasnt what i signed up for but i cant argue with the tape measure

    EliasPC16

    Norway 🇳🇴

  • logged case−1.5 cm · 3 months

    i did abs for two years thinking that was the fix. it was never going to be abs. three months of the brace plus actually learning how to exhale properly and its 1.5cm narrower down there

    AlexRib Flare22

    USA 🇺🇸

Add yours

Been through it? Put it on the record.

Whatever you used - a program, a brace, or just the free articles - write what actually happened. Good, mixed or disappointing.

Your rating

17 published · 500+ collected since 2015

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Before & after optional

Same light, same stance. They come to me only, never stored here.

"read the blog for months before i actually did anything with it. no coach, no brace, just the stuff in the articles done properly. i feel a lot better now and the photos say the rest"

"Two months in and I've put on 3 kg of muscle. My chest doesn't cave the way it used to when I'm standing relaxed, and that alone was worth it."

"the bell leaves a red ring on your chest the second you take it off, and nobody warns you about that. it fades within the hour and the skin has never been an issue since. 100% satisfied - the sternum sits higher than it has my whole life"

"He knows more about this than the two consultants I paid to see, which says more about them than it does about him. Showed my GP the 9 month photos and he asked me for the website. Half a star off because the time zones make the calls a nightmare from Ireland."

"watched the youtube for six years before i spent a single cent. bought the program, did it properly for 7 months, and the only thing i actually regret is the six years"

"Had the flare since i was about 14 and just assumed that was my ribcage, permanently. Brace plus the breathing drills and my mrs asked when i'd lost weight. I hadn't lost anything, it's just the ribs sitting where they should now."

"first call he told me straight up itd take a year and id hate months 2 through 5. he was right about both lol. 12 months on and my PC is flat. took my shirt off at the beach in january without doing the whole towel thing"

"didnt know you could be breathing wrong for 21 years. thats the whole thing right there. flare started going down on its own once i stopped breathing into my shoulders, which is not what i paid for but ill take it"

"the brace is made really good, i wear it under the t-shirt at school and nobody has noticed in 4 months. my mother was crying when we compare the photos. sorry for my english"

"ive bought like four programs for this over the years and quit every one of them by week two. finished this one. i think its cus you cant move on until you can actually hold the position, so theres never that thing where you're guessing if youre ready or not"

"My son is 15 and had started keeping a shirt on in the pool, which is how I worked out something was wrong in the first place, because he certainly wasn't going to tell me. He would never have stuck with the brace on his own. It was the fortnightly check-ins that did it - he didn't want to turn up with nothing to report. Six months now and the ridge has visibly come down. He swims without the shirt."

"I went in wanting to debunk it, honestly. Started opening the citations one at a time and they were real papers that said what he said they said. That is a depressingly low bar and nowhere else online clears it."

read the blog for months before i actually did anything with it. no coach, no brace, just the stuff in the articles done properly. i feel a lot better now and the photos say the rest

DaniloPectus Excavatum
Recorded Testimonials
Filmed
0:00 / 1:07
Pat, portrait
Pat · Germany 🇩🇪
Vacuum bell owner
Pectus Excavatum
Filmed
0:00 / 0:31
Stefan, portrait
Stefan · Macedonia 🇲🇰
Vacuum bell owner
Pectus Excavatum
Filmed
0:00 / 1:13
Simeon, portrait
Simeon · Slovenia 🇸🇮
Coaching client
Pectus Excavatum

Shared with each client's permission.

Documented Progression

Did I help you with your pectus?

Share your before & after
Andro — pectus excavatum chest before and after the protocolBefore
After
Andro
Month 0 → Month 3
Pectus ExcavatumWeight gain: +2 kg lean muscle massPectus excavatum workout programItaly 🇮🇹
Liam — pectus excavatum and rib flare chest before and after 9 months on the protocolBefore
After
Liam, portrait
Liam, 32
Month 0 → Month 9
“I'm 32. Everything I ever read said the window on this shuts at 18 and after that you either get cut open or you live with it. Nine months, 5 kg on, 1 cm off the depth. Nobody is more annoyed about the wasted decade than me.”
Pectus Excavatum + Rib FlareWeight gain: +5 kg lean muscle masspectus depth −1 cmExercise & 1-on-1 coachingSeattle, WA 🇺🇸
Ian — pectus excavatum and rib flare chest before and after the protocolBefore
After
Ian, portrait
Ian, 22
Month 0 → Month 6
“came in skinny with a deep dip and ribs that stuck out at the bottom. six months, 4kg up. funny thing is nobody says anything about the dip, its the flare going down that people actually noticed”
Pectus Excavatum + Rib FlareWeight gain: +4 kg lean muscle mass1-on-1 coachingCanada 🇨🇦
Greg Henderson — pectus carinatum and excavatum chest before and after 1-on-1 coachingBefore
After
Greg Henderson, portrait
Greg Henderson, 52
Month 0 → Month 5
“I'm 52. I have both a ridge and a dip, which I'm told is unusual, and I've had the pair of them since I was a boy. Nine kilos off in five months and for the first time my chest looks like one chest. I did not expect to be sorting this out at my age, but there we are.”
Pectus Carinatum + Pectus ExcavatumWeight loss: −9 kg1-on-1 coachingOhio, USA 🇺🇸
Alejandro Sanz Torres — pectus excavatum and rib flare chest before and after the rib flare brace plus 1-on-1 coachingBefore
After
Alejandro Sanz Torres, portrait
Alejandro Sanz Torres, 29
Month 0 → Month 7
“The brace did the flare, the training did the rest. Seven months, 6 kg on, 1 cm off the depth. The part I wasn't ready for is that I now own shirts that fit, after about fifteen years of buying everything one size too big.”
Pectus Excavatum + Rib FlareWeight gain: +6 kgpectus depth −1 cmRib flare brace + 1-on-1 coachingBilbao, Spain 🇪🇸
Lars — pectus excavatum and rib flare chest before and after 5 months of exercise and 1-on-1 coachingBefore
After
Lars, 25
Month 0 → Month 5
“5 months, 4kg on. still there if i go looking for it. nobody else has said a word”
Pectus Excavatum + Rib FlareWeight gain: +4 kgExercise & 1-on-1 coachingSweden 🇸🇪
Danilo — pectus excavatum chest before and after following the blog on his ownBefore
After
Danilo
Before → After
“read the blog for months before i actually did anything with it. no coach, no brace, just the stuff in the articles done properly. i feel a lot better now and the photos say the rest”
Pectus ExcavatumUser-submitted photosRead the blogCroatia 🇭🇷
Piotr — pectus excavatum chest before and after using the vacuum bellBefore
After
Piotr, 25
Before → After
“the bell leaves a red ring on your chest the second you take it off, and nobody warns you about that. it fades within the hour and the skin has never been an issue since. 100% satisfied - the sternum sits higher than it has my whole life”
Pectus ExcavatumUser-submitted photosVacuum bellPoland 🇵🇱
Ethan — pectus carinatum chest before and after 3 months of exercise and 1-on-1 coachingBefore
After
Ethan, portrait
Ethan, 19
Month 0 → Month 3
“3 months and 5kg later the ridge is sitting lower than its ever been. i was 100% convinced surgery was the only option, like id already looked up how much it costs and everything”
Pectus CarinatumWeight gain: +5 kgExercise & 1-on-1 coachingNorth Carolina, USA 🇺🇸
Omar Al Mansoori — pectus carinatum chest before and after 6 months of exercise and 1-on-1 coachingBefore
After
Omar Al Mansoori, portrait
Omar Al Mansoori, 24
Month 0 → Month 6
“9 kilos in 6 months. the trick nobody tells you is you build the muscle around the ridge, then the ridge is not the first thing people see. before this i am buying only loose shirts, maybe 8 years like this”
Pectus CarinatumWeight gain: +9 kgExercise & 1-on-1 coachingAbu Dhabi, UAE 🇦🇪
Taras Bondarenko — pectus carinatum chest before and after exercise and 1-on-1 coachingBefore
After
Taras Bondarenko, portrait
Taras Bondarenko, 29
Before → After
“before, the carinatum is the first thing i see in every photo of me. now i show someone and they must ask me where it is. i did not have any surgery, only the training”
Pectus CarinatumExercise & 1-on-1 coachingCzech Republic 🇨🇿
Beau — pectus carinatum chest, side profile, before and after 4 months of 1-on-1 coachingBefore
After
Beau, portrait
Beau, 30
Month 0 → Month 4
“Four months in and the side profile is the thing that changed. I used to clock myself in every shop window I walked past, at 30 years old, and I hadn't even noticed I was doing it until I stopped.”
Pectus Carinatum1-on-1 coachingMissouri, USA 🇺🇸

PE pectus excavatum · PC pectus carinatum · RF rib flare

Drag each slider to compare.Tap any case to open and compare.Published only with the client's written consent.

Medically reviewed byProf. Dr. Mustafa Yüksel

Straight From the Inbox · DMs, Emails & Comments

Tap any message to read it full size. Instagram, Facebook, YouTube & TikTok comments, DMs, WhatsApp and email - real messages from real clients. Names and handles blurred, content untouched.

Case Log · Verified Outcomes
JakeCase 01
“every doctor said come back when youre done growing, which is a mad thing to say to a 17 year old whos already miserable about it. did four months of training instead. 4kg on and my t shirts actually sit on something now”
Jake / Age 17
Pectus Excavatum
Exercise & 1-on-1 coaching · USA 🇺🇸
Timeline
4 months
Lean mass
+4 kg
VincentCase 02
“1 cm off the depth in eight months. I had this filed under things about my body that got decided before I was born, and I'd stopped thinking about it somewhere in my twenties, so being wrong about it has been a strange few months honestly.”
Vincent / Age 36
Pectus Excavatum + Rib Flare
1-on-1 coaching · France 🇫🇷
Timeline
8 months
Chest depth
−1 cm
CallumCase 03
“i was the skinny kid who kept his top on at the beach every single year. 6 months, 5kg heavier. took it off in ibiza this summer and genuinely forgot to be weird about it until we were leaving”
Callum / Age 17
Pectus Excavatum
Exercise & 1-on-1 coaching · UK 🇬🇧
Timeline
6 months
Lean mass
+5 kg
EliasCase 04
“bump is 0.5cm down in 5 months. bro i genuinely thought this was gonna be bench press for a year, its like 80% breathing drills and posture stuff. wasnt what i signed up for but i cant argue with the tape measure”
Elias / Age 16
Pectus Carinatum
Exercise & 1-on-1 coaching · Norway 🇳🇴
Timeline
5 months
Bump height
−0.5 cm
AlexCase 05
“i did abs for two years thinking that was the fix. it was never going to be abs. three months of the brace plus actually learning how to exhale properly and its 1.5cm narrower down there”
Alex / Age 22
Rib Flare
Rib flare brace + 1-on-1 coaching · USA 🇺🇸
Timeline
3 months
Rib flare
−1.5 cm
Before You Start · Straight Answers

What people ask
before they begin.

The four that come up most, answered the same way I would answer them on a call.

Take the 60-second quiz
How long before I see a change?+

Posture and breathing shift inside the first few weeks. Visible chest change is slower - in the case log above, Milo hit his at 2 months, Ian at 6. The programs run 16 weeks because that is how long it takes to show in the mirror.

Am I too old for this to work?+

Almost certainly not. The clients on this page were 22 to 32 when they started. Cartilage stiffens with age, so progress is slower, but slower is not stopped. Age changes the timeline, not whether it is worth doing.

Do I need a gym, or can I do this at home?+

Either works. Every program ships with a gym track and a no-equipment track for the same 16 weeks, and you can switch between them mid-program without losing your place.

Pectus excavatum, carinatum, rib flare - is it the same plan?+

No, and that matters. A sunken chest and a protruding chest need close to opposite work, and rib flare rides along with both. There is a separate program for each, if you are not sure which you have, the 60-second quiz sorts it out.

Questions

The ones I get most.

Am I too old for this to work?

Older chests are stiffer, so they take longer and often correct less. But the compliance study concluded that for a highly compliant patient, therapy can be effective regardless of age or severity - and the case log on this page includes men in their thirties. The honest version: age changes the timeline and the ceiling, not whether it is worth trying.

How long before I see anything?

Most people notice the dip filling slightly within two to three months, and measure a real change in chest depth somewhere between four and nine. It is slow and it is not linear. Photograph and measure monthly rather than staring in the mirror daily, which tells you nothing.

Can exercise alone fix it?

Not the sternum. Training builds the chest, back and shoulders around the dip, which changes how it looks - sometimes a lot - and it is genuinely worth doing. But the bone and cartilage move under sustained mechanical pull, which is the bell's job. Anyone selling you exercises as a complete correction is overselling.

Do I need the bell if my case is mild?

Mild and flexible is the profile that responds best, so if anything the bell is a better bet for you than for a severe case. That said, start with the free plan. If a mild dip mostly bothers you visually, the training side alone may take you far enough.

Is a vacuum bell safe?

Used at sensible pressure it is well tolerated. Expect redness that fades within an hour, and occasionally some transient swelling early on. Stop and reassess if you get persistent bruising, broken skin, chest pain, dizziness or breathlessness. If you have a known heart, lung or connective-tissue condition, clear it with a doctor before starting.

Should I just have surgery?

For a rigid or severe chest, or where the dip is compressing the heart or lungs, surgery is a legitimate and often the better answer - and you should be assessed by a surgeon for that. What I object to is being told surgery is the only option before anyone has checked whether your chest is flexible enough to move without it.

Not sure it's pectus excavatum?

The free 1-minute assessment tells you exactly what type of chest condition you have and the exact products you need, so you never buy the wrong thing.

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