pectus excavatum brace

Best Pectus Excavatum Braces - The Ultimate guide

Braces for pectus excavatum are a proven way to correct the condition without surgery. If the patient is younger, the remodeling will be faster, in comparison to older patients.

The whole non-surgical treatment of pectus excavatum is based upon the principles of Nicolas Andry. He is known as the “father of orthopedics.”

In 1741, he published a book called “L’orthopédie ou l’art de prev’enir et de corriger dans les enfants, les difformités du corps.” 

In the book, he concluded that limb malformations are correctable through conventional treatment approaches.


Julius Wolff Law of Bone Remodeling

Later, Julius Wolff explained these treatments and concluded that bone and cartilage are flexible substances that can be remodeled by external forces. Nowadays, this is accepted as a law in orthopedics, known as the law of bone remodeling.







“The bone tissue is a dynamic construction that can be modified according to exterior pressure.”

Julius Wolff

Wolff’s law also applies to the bones and cartilages of the anterior chest wall. The flexibility in the chest area allows external forces created through bracing to correct the pectus excavatum condition.

Applying therapeutic compression repeatedly on deformed bone and cartilage promotes a steady remodeling. This can be entirely noticed on the anterior chest wall, which is an extremely flexible part of the body.

When you wear the correct pectus excavatum brace, the external compression modifies the skeletal tissue pressure history. This promotes correct patterns of growing and ossification.

These orthopedic principles are proven to fix pectus excavatum in patients with flexible defects.


Sydney Abrão Haje Dynamic Remodeling Method

Pediatric Orthopedist and Physiatrist Sydney Abrão Haje and Doctor in Orthopedics Davi de Podestá Haje, did a 32-yearlong study that showed the effectiveness of correcting pectus excavatum and pectus carinatum non-surgically.

They used the famed Dynamic Remodeling method to treat their patients. It combines pectus excavatum bracing and performing correct concave chest exercises daily.

The study concluded that congenital pectus excavatum can be corrected with bracing. It showed a direct link between pectus deformities and orthopedics (using corrective braces).

“The Dynamic Remodelling method is non-surgical! It is a consistent long term procedure by the use of orthoses (braces) and pectus excavatum exercises. It brings good or exceptional outcomes in one, two, or more years, depending on how well the sufferer follows proper directions.”

Sydney Abrão Haje

Below, I did a comprehensive review on the top 5 braces for pectus excavatum in 2019. They work based upon Sydney Abrão Haje's method. The braces provide optimal level of external pressure that will modify the chest wall structure in the long run.


Top 5 Pectus Excavatum Braces in 2019

Rank

Picture

Product Name

Rating

Price

#1

LaceIT Pectus Excavatum Brace

98.3

5


#2

Neo G Posture Brace

95.8

3


#3

TLSO Thoracic Brace

90.4

4


#4

Cybertech Medical Brace

89

1


#5

AIYUE Brace Posture Corrector

83.2

2




1. LaceIT Pectus Excavatum Brace

98.3

95.6

Overall Score

pressure

99

comfort

95.5

breathability

100

best deal for today

adjustability

98.5

Pros

  • A lightweight brace that won’t bother you in your daily activities
  • Customizable straps allow you to adjust the brace for your needs
  • Special mesh foam feels extremely natural on your skin
  • Bi-Pull Multi-Plane Closing Technology increases the closing strength
  • Circumferential airflow minimizes sweating and keeps your body cool
  • Can be easily put on and taken off, thanks to the fabric fastening closure

Con​​​​s

  • Can be quite expensive for some patients
  • Feels uncomfortable while jogging

Con​​​​s

  • Can be quite expensive for some patients
  • Feels uncomfortable while jogging

The LaceIT brace is the perfect product for those who suffer from moderate to severe pectus excavatum condition. It is an adaptable brace that is adjustable for the needs of every single patient.

You’ll be amazed by the confidence boost you’ll get after you put it on. The LaceIT isn’t just a posture correcting brace. It is more of an orthopedic brace that is meant to reshape the bone structure of your anterior chest wall.

The side effect of wearing this brace daily, is improved posture and pectus excavatum correction.

CLICK HERE TO READ THE FULL LACEIT BRACE REVIEW


2. Neo G Dorsolumbar Support Brace

95.8

95.6

Overall Score

pressure

95

comfort

92.3

breathability

96

best deal for today

adjustability

100

Pros

  • Can be worn over or underneath your shirt while cooking, at work, during jogging, etc.
  • Putting it on and taking it off is a piece of cake, thanks to the Velcro adjustable straps
  • Anatomical design helps with pain relief, associated with pectus excavatum
  • Provides correct spinal alignment that decreases early thoracic kyphosis
  • Registered as a worldwide Class 1 Medical Device
  • Fabric is extremely comfortable, flexible, durable and minimizes sweating

Con​​​​s

  • Always go up a size, because the straps are short
  • Shoulder band pads can be uncomfortable in certain sitting positions

Con​​​​s

  • Always go up a size, because the straps are short
  • Shoulder band pads can be uncomfortable in certain sitting positions

The Neo G pectus excavatum brace is one of the most popular products in the Medical Supplies & Equipment section on Amazon.

The primary purpose of this brace is to correct kyphosis, rounding in the shoulders, and provide lumbar support. All of this is needed when you’re trying to correct your posture and fix pectus excavatum non-surgically.

CLICK HERE TO READ THE FULL neo g brace review


3. TLSO Thoracic Full Back Brace

90.4

95.6

Overall Score

pressure

91.2

comfort

89

breathability

95

best deal for today

adjustability

86.7

Pros

  • The mechanical pulley technology generates high abdominal pressure that corrects rib flaring
  • Tight fit holds the spine upright and prevents any unnatural movements that will worsen your posture
  • Soft paddings provide exceptional comfort without added bulk
  • Easily adjustable depending on the severity of your deformity, thanks to the Velcro straps and fast-release buckles
  • Can be used before or after pectus excavatum surgery
  • Perfect for men and women of all ages

Con​​​​s

  • Can’t be worn during sleeping, because of the metal components on the back

Con​​​​s

  • Can’t be worn during sleeping, because of the metal components on the back

I’ve first stumbled upon the TLSO thoracic full back brace on a Pectus Excavatum Forum. There were plenty of positive reviews about this product, and I decided to give it a try.

I wasn’t bothered by the brace cost, because correcting pectus excavatum non-surgically, with bracing and physical therapy is significantly less expensive than undergoing Nuss or Ravitch procedures.

CLICK HERE TO READ THE FULL TLSO BACK BRACE review


4. Cybertech Medical Postural Back Straightener Brace

89

95.6

Overall Score

pressure

84.3

comfort

85.2

breathability

90.8

best deal for today

adjustability

96

Pros

  • Aluminum frame in the back keeps the posture nice and tight
  • You can easily adjust the back-panel height if you have a longer torso
  • Very easy to put on. Put the brace on just like wearing a backpack
  • Double pull tension handles provide a snug and comfortable fit
  • Unique pulley system applies a considerable amount of external pressure to correct pectus excavatum

Con​​​​s

  • Cannot be worn during jogging and physical exercise

Con​​​​s

  • Cannot be worn during jogging and physical exercise

The Cybertech medical postural brace was initially designed to reduce pain from thoracic spine abnormalities and bone breakages. The thoracic support of the brace is designed to minimize pain, without feeling like a restriction in your day-to-day activities.

This brace can also work exceptionally well in correcting pectus excavatum. That condition is worsened by improper bone structure, caused by poor posture.

You can apply as much pressure as you want for your body to get back into correct positioning, thanks to the Cybertech’s patented pulley technology. 

CLICK HERE TO READ THE FULL CYBERTECH BRACE Review


5. AIYUE Back Brace Posture Corrector

83.2

95.6

Overall Score

pressure

70.5

comfort

85.8

breathability

89.2

best deal for today

adjustability

87.4

Pros

  • Aiyue back brace will keep you upright, significantly boosting your confidence
  • Wearing it daily will reduce disturbing backaches
  • High-quality material is breathable, which minimizes sweating while out
  • The brace is unnoticeable if you wear it underneath your shirt. This is perfect while going out
  • Adjustable Velcro straps can fit any male and female size

Con​​​​s

  • Sometimes, the brace moves up, and you must readjust it

Con​​​​s

  • Sometimes, the brace moves up, and you must readjust it

The Aiyue pectus excavatum brace is built upon an Ergonomic design. Its adaptable straps can fit any pectus excavatum sufferer tightly. The company recommends you wear the brace 1-4 hours every single day.

However, if you want to correct your sunken chest as fast as possible, without a painful surgery that takes forever to recover from, I’d recommend you wear it as much as you can under your shirt.

CLICK HERE TO READ THE FULL AIYUE BRACE Review


5 Features to Consider Before Buying Sunken Chest Brace

Buying a brace for pectus excavatum can be a complicated process if you decide to purchase one by yourself. Local orthopedic stores sell plenty of low-quality compression braces that don’t provide the required external pressure to make a change in the anterior chest wall.

You can’t go wrong if you decide to purchase the top 5 pectus excavatum braces in the comparison table above.

However, if you don’t like those braces for a specific reason, feel free to be guided by the five features that make an excellent brace for pectus excavatum. If the brace you’re looking for satisfies these features, then you’re on the right path in buying a funnel chest brace.

Adequate External Pressure

Comfort

Breathability

washable by hand

Adjustable Straps


Can Pectus Excavatum Be Fixed with Brace Instead of Surgery?

I am a huge advocate for children and infants not to undergo pectus excavatum surgery, because of the severity of abrasion to the growth plates of the sternum and ribcage.

Growing disorders are prevalent in kids and babies who are operated before they are 13 years old. This is a widespread occurrence after surgical procedure.

There is a piece of clear scientific evidence that backs this up.

Let me share a few reports from the medical literature.

“There are 40 diverse surgery techniques to correct Pectus Excavatum.”

- Isakov et a -

“Clear sign that a perfect technique has not yet been found.”

- Sydney Abrão Haje -

“Surgical procedures are debatable, and a faultless result is not attained with every procedure.”

- William H. Heydorn -

“Doctors who identify progressively bad results as their patients grow elder, guilt the procedure and search for a better one.”

- Humphreys and Jaretzki -

“Poor results happen in children who are operated before they are 12-years-old.”

- Milovic and Oluic -

“A bad long-term result.”

- Ellis, Humphreys, and Jaretzki -

“Several new studies report on a growing number of near-deadly complications.”

There are a lot of other reports that indicate heart problems, chest pain, uneven chest, pulmonary functioning worsening, and problems in later life, after the operation. Life expectancy after unsuccessful surgery is shortened.

Please take your time and read these scientific studies. You should be aware of the dangers.

I figured out that children and adolescents with intended chest should avoid pectus excavatum surgeries. If the condition is mild or severe, I highly recommend you try to correct the situation with a conservative technique, based on the Orthopaedic principles.

Performing physical therapy exercises and wearing a brace for pectus excavatum daily is a very effective way to correct the condition, for both men and women. As you saw above, there is scientific medical literature that supports this conservative technique and its effectiveness.


Can Bracing Correct Any Pectus Excavatum Severity?

Yes, it can. What’s more important than the severity of the deformity, is the flexibility of the anterior chest wall. The exterior pressure created by the pectus excavatum braces that I placed in the comparison table above, can remodel the bone structure in your chest.

If the deformity is severe, it will take more time to correct than a mild condition. That’s the only difference between the severity levels of the pectus excavatum condition.

You can do a manual compression test to check whether your chest wall is still flexible. Press the rib protruding or the sternum with the palm of your hand. Hold the thoracic spine with your other hand. If you can notice that the rib flare decreases or the sternum compresses, that means your chest is still flexible.

However, you need to apply a notable amount of force for this test to work.

It has been scientifically proven that no matter how severe your pectus excavatum condition is, it can be corrected with orthoses and set of physical exercises. You can check that in the Sydney Abrão Haje’s study.


Is Concave Chest Brace for Adults Effective?

Correcting pectus excavatum in adults using the conservative technique of physical therapy and orthoses is not impossible but is much harder.

In the “Orthopedic Approach to Pectus Deformities” study, 175 out of all patients tested, were adults. They noticed a tremendous improvement in their chest wall appearance by using orthoses (braces).

Like I previously said, the bone and cartilage are flexible substances that can be remodeled by external forces. However, as you grow older, the flexibility “stiffens” and becomes harder to be reshaped. Therefore, children and adolescents are the best candidates for correcting pectus excavatum with braces and exercises.

The steady exterior force from a pectus excavatum brace for adults, on the sternal and costal protrusions on your chest wall, is very effective. Combine this with concave chest exercises.

They will increase the intrathoracic pressure on the sunken areas on your chest. You’ll see amazing results in your chest appearance after a 5-6-month period.

Back in the days, only children and teenagers wore compressive braces for an inverted chest. Nowadays, many adults are wearing them, yielding fruitful results.

If you’re an adult patient and want to use the alternate non-surgical way to treat the condition, I would like to tell you that it takes a lot of discipline and dedication. You need an immense amount of will power if your chest is severely sunken.

Most adults won’t be able to wear the concave chest brace all the time, because of societal and professional obligations. The reduced brace wearing time will have a direct impact on the success of fixing the deformity with the Dynamic Remodeling method (brace + exercise).

pectus excavatum brace for adults

Adolescents and children have a higher success rate than adults, mainly because of this.
If you’re able to wear the pectus excavatum brace for adults, for the same amount of time as children or adolescents during the day, you’ll be able to correct the condition just as well as them.

All the funnel chest orthoses I reviewed in the comparison table are incredibly comfortable and can be worn throughout the whole day.


Does Pectus Excavatum Cause Bad Posture?

Yes, it does.

You may be curious about what causes a concave chest. Many pectus excavatum sufferers have one thing in common. That is poor posture, which exposes the funnel chest to a great extent. This is caused by weak musculature in the back and tight chest muscles.

Also, most people who suffer from the condition have social anxiety and low self-esteem. They are ashamed of how their bodies look, which leads to depression.

These psychological factors play a significant role in a person’s posture.

does pectus excavatum cause bad posture

Notice the body language and body positioning of a depressed person with low self-confidence. Their back hunches over and their head goes forward and down.

Combining the psychological and physiological factors of pectus excavatum is the reason why bad posture is one of the most common symptoms in patients who have this condition.

One of the best ways to correct pectus excavatum is to improve the posture. This is done by stretching tight chest muscles, improving the mobility and flexibility in the chest wall and strengthening weakly developed postural muscles.

Improving lousy posture is the focus while correcting the condition in a non-surgical way. Be aware of your body positioning while you walk, exercise, stand, run, sit, and lay.

The easiest way to improve improper posture is by wearing a brace for pectus excavatum daily. With a simple investment, your body and confidence will grow to a point you’ve never seen before.


Are There Any Risks Associated with Sunken Chest Braces?

Most people associate pectus excavatum braces with overcorrection. Although overcorrection is a severe problem, it is closely related with pectus carinatum (pigeon chest), not pectoralis excavatum.

The only complication you can get from the Dynamic Remodeling method (bracing + exercising) is skin rashes from the brace. The area where the outbreaks occur is where the pads make the pressure during treatment.

The Intensity of the skin rash differs from person to person. Some patients may be allergic to some of the brace materials. Although this is extremely rare, it still may irritate some patients. However, the braces for pectus excavatum I reviewed in the comparison chart above are made of dermatologically tested materials.

If you’re annoyed by skin irritation, I recommend you wear the brace for pectus excavatum over your cotton shirt. You won’t be able to feel the compression on the same level as if you wear the brace naked.

However, it still works in your favor and corrects the condition gradually.
Skin marks from the brace are ubiquitous. They go away when you take it off.


How Long Should I Wear the Intended Chest Brace?

20 hours FOR FASTER & BETTER RESULTS

For faster and more successful results, I recommend you use the brace for 20 hours a day.

17 HOURS FOR SLOWER RESULTS

Patients who wore the brace less than 17 hours, had a slower correction time. Three hours can change a lot when it comes to fixing sunken chest.

10 HOURS AND LESS FOR MAINTENANCE

Wearing pectus excavatum brace for less than 10 hours will stop the condition from getting worse.


5 Situations Where You Should Wear the Brace

For faster results, you should wear the pectus excavatum brace as much as possible. You can wear the brace underneath your shirt, so there shouldn’t be any excuse for you not to wear it.

Any time you’re sitting at the office or doing something with the hands in front of you, you’re prone to poor posture. This will only worsen your funnel chest condition. You don’t want this to happen at any costs.

Improving your posture on day to day basis is essential in correcting the hole in your chest. Let me state a few reasonable situations where you should wear the brace.


At the Workplace

Every time you’re focused on your work, you lose awareness of your posture, and it gets worse. This is the number one reason why people who work long hours in the office are hunched in the back.

Writing e-mails and staying in pointless, long meetings can worsen your posture and funnel chest.

Wearing a brace for pectus excavatum in these situations will keep your posture alert and will give you more energy throughout the day. Also, it is critical to wear it during this time of the day, because 8-hour workdays seem to be a large percentage of your day.


Watching TV & Movies

Make it a habit to put on the pectus excavatum brace before turning on the TV. Does your sofa have a lasting butt print where you can sink into? Just before you know it, it is already 3 AM, and you ate a whole bag of potato chips, full of saturated fat.

To lessen the amount of guilt you feel, make sure you wear the brace the next time you’ll watch ten episodes of Game of Thrones. At least you’ll improve the appearance of your chest while watching Bronn fighting for Tyrion.


Reading / Studying

It is effortless to get preoccupied in reading and forget to maintain correct posture. Make sure that you put on the pectus excavatum brace before you open any book.

Also, scrolling through the Facebook newsfeed can be extremely time consuming and addictive. Just before you know it, you stumbled upon an unknown person profile and wasted two precious hours of your day.


While Using Your Phone

Every time you use your phone for social media, business, or playing games, you must wear a posture brace. Spending long hours on your phone, with the hands in front of you will lead to neck and shoulder pain.

Improper posture has been proven to worsen the pectus excavatum condition. A recent study has shown that smartphone usage time hurts your posture and breathing function. You’ll be prone to forward head posture, rounded shoulders posture, and slumped posture. This posture can harm the cervical and lumbar spine. 

You must pay attention to the duration of usage and the posture you maintain while using smartphones.


Cooking

If you’re practicing some of the best bodybuilding exercises for pectus excavatum, then you’ll spend a reasonable amount of time in the kitchen. It is an activity that requires putting your arms in front of you always. This can be a reason why your posture is slumped over.

If you check the employees in some traditional bakeries, you’ll notice that they don’t have a proper upright posture. Also, see how most of the world’s famous chefs have slouched over posture.

Make sure you put on the funnel chest brace before stepping in the kitchen.


Cleaning the House / Lawn Mowing

This applies the most for adults with pectus excavatum. If you are a parent, you’ll spend a reasonable amount of time cleaning your household.

Vacuum cleaning requires you to hunch over. The same applies to floor-sweeping. This is an excellent time to put a brace on.

If you have a large garden, lawn mowing should be done frequently. You will feel posture-related pains in the neck, shoulders, and upper back if you decide not to wear a brace for a concave chest.


Walking / Jogging

The greatest pectus excavatum compressive braces that I reviewed above, can be worn during substantial physical activities. When most runners get tired during their session, their shoulders slump over, causing poor posture. This is where wearing a brace thrives.

Going for a walk on the beach or to the grocery store is also an excellent time to put a brace on.


You should wear a brace for pectus excavatum throughout the majority of your day. There won’t be any harmful effects on your body. It will only speed up your funnel chest correction time while improving your posture and confidence.

Standing upright daily will boost your self-confidence to a level you’ve probably never seen before. Anxiety-related issues will be gone, and you’ll feel much better in social interactions.
Wearing pectus excavatum posture orthoses will also have a positive psychological impact on you.

In my opinion, this is a fact people who suffer from the condition have neglected. Depression and anxiety are something that you don’t want to be a victim of.


2 Situations to Take the Funnel Chest Brace Off

There is a particular time of the day when wearing a pectus excavatum brace isn’t comfortable or needed. Take it off and put it on as soon as you’re finished doing these activities.

Even though the descriptions of some of these products clearly state that they can be worn 24/7, there is no need to do that.


Swimming / Taking a Shower

This is where a compressing brace isn’t the comfiest thing to wear. On top of that, you won’t be able to win the 30-yard butterfly stroke race with your arms being restricted.

Swimming is one of the best ways to correct the concave chest condition without undergoing a painful surgical procedure. There is scientific evidence of the effectiveness of swimming in treating pectus excavatum

While taking a shower, make sure you rub the upper back area. That is the area where the posture brace collects sweat. You can’t clean yourself if you have a brace on.


While Doing Pectus Excavatum Exercises

Wearing a brace for pectus excavatum can limit your range of motion while doing specific exercises. It is very uncomfortable to do dumbbell pullovers or even pull-ups with the brace on. You won’t be able to feel the full muscle contraction, which is critical in building mass.

The stabilization muscles in your back and shoulders won’t work as hard when the brace is on. Your posture won’t be improved if those aren’t developed.

If you decide not to take the posture brace off, you’ll feel unnatural in the bodybuilding movements you’re about to perform. Not feeling right will be a good enough reason to take the brace off.

Please remove your brace while doing yoga. You need to force yourself to maintain good posture without having the brace on you. This is something that will be extremely helpful in correcting your posture daily.


Pectus Excavatum Brace Before and After Transformations

The pectus excavatum brace before and after pictures should serve as a motivation for you to correct the condition without an operation. Surgery cost can go up to $100 000 without insurance.

The transformations are the results of using the Dynamic Remodeling method, created by Orthopedist and Physiatrist Sydney Abrão HajeAll patients were using a brace for pectus excavatum underneath their shirt, throughout most of the day.

Most patients stated that the first couple of weeks of continually wearing the brace could be a bit uncomfortable. However, as the days go by, you’ll get used to that feeling. You won’t be bothered by the brace and will be able to do many activities during the day, with the brace on you.

Check the pectus excavatum brace before and after pictures below.

results of dynamic remodeling method

pectus excavatum brace before and after

While the correction time differs from patient to patient, a common thing among all these transformations is that they all managed to correct their condition thanks to combining bracing and exercising. 


Don’t get discouraged if you don’t see an improvement in the first month or two. It takes on average about 5-6 months to see improvement in the chest wall appearance. Every single patient that used the Dynamic Remodeling method has a tremendous amount of self-discipline, trust, and desire to correct the condition without a surgical procedure.


You should trust the process. Don’t quit. There is scientific evidence that proves the effectiveness of this method. Scientists have spent 30 years of their lives to figure this out.




Conclusion

Correcting pectus excavatum with the Dynamic Remodeling method takes a lot of dedication, effort, discipline, and motivation.

First of all, you need to realize that the sunken chest condition can be corrected through bracing. Numerous scientific pieces of evidence cover this topic. I listed a few scientific publications about the subjects at the beginning of this article.

The next thing you should do is make an intelligent investment in the best brace for pectus excavatum on the market in 2019. LaceIT brace is the number one option that has an anatomical design, durable and breathable material, easy to put on and take off and doesn’t cost a fortune.

After making the initial purchase, aim to wear the brace for 15-20 hours a day. You can even wear it when you sleep to speed up the bone remodeling process.

Combine the brace therapy with pectus excavatum exercises, yoga, and breathing. In about 5-month time span, expect positive results.

There is no need to undergo a pectus excavatum surgical procedure that takes forever to recover from in the clinic. You’ll carry two titanium bars underneath your breastbone for three long years.

Bracing will provide external pressure on the flexible anterior chest wall. At the same time, it will improve your hunched over posture. That’s how powerful a pectus excavatum brace can be.

Don’t be one of those patients who purchase a posture brace just for it to collect dust. They are all motivated in the first days, but after a few weeks, lose the habit of wearing it every single day. That is why comfort is essential.

All 5 top braces for pectus excavatum I reviewed satisfy the five rules every brace needs to have for a great experience.

My last word of advice for you is to trust the process. Stay disciplined in the days when you don’t feel like wearing the brace. That’s how marvelous results are achieved with the Dynamic Remodeling method!