Vacuum Bell Therapy for Pectus Excavatum – Is it Effective?

Evidence Based This post has medical citations

vacuum bell treatment for funnel chest

Vacuum Bell Therapy for Pectus Excavatum

A vacuum bell is a cup or bowl-shaped device, made of orthopedic silicone. It is connected to a pump. It should be placed directly on the dent in your chest. For best results, it should be sized to fit each patient perfectly.

The purpose of the pump is to suck the air out of the device. This creates a vacuum or suction that pulls the sternum in a normal position. It needs to be applied daily.

After a certain period of constant device use, the breastbone will get back to a corrected position on its own. Nowadays, it is considered as an excellent alternative to surgery.

Patients with mild pectus excavatum are the ideal candidates for vacuum bell therapy, especially if they want to evade surgical procedures. The vacuum bell causes small cracks (microfractures) in the sternum.

New bone material will form in the fracture gaps to stabilize the “new” breast form. However, it is safe and straightforward to use.

Does the Vacuum Bell Work for Funnel Chest Correction?

is vacuum bell therapy effective

Most of the research on the effectiveness of the vacuum bell therapy for pectus excavatum comes from a study done in Switzerland. The study included 140 patients (112 males and 28 females).

In this study, the patients averaged around 100 minutes of vacuum bell application a day. The therapy was finished after 20.5 months. In 61 patients, the breastbone was raised to a normal level after 21.8 months of therapy.

To conclude, about 80 percent of all patients saw a tremendous improvement in their chest wall, and about 15 percent of them got a total repair. A few patients had only applied the suction cup device for nearly a month.

There is a definite chance that they could’ve had fantastic improvement if they continued to follow the therapy. The study’s successful results are the exact reason why doctors worldwide feel comfortable doing the vacuum bell treatment on patients.

CT Scan Confirms Instant Lifting of the Sunken Chest

CT scan images of the Pediatric Surgical Clinic of the University of Jena in Germany show an immediate lifting of the sunken chest after a vacuum bell therapy. The images above show the Eckart Klobe vacuum bell’s effectiveness on the first day of therapy.

The before and after images are done only a few minutes apart.

vacuum bell treatment ct scan images

Patient 1 CT Scan Image

This is the very first CT scan image done on a patient who started the vacuum bell therapy. In the Before photo, you can see a noticeable dent in the sternum.

You can see how effective the vacuum bell device is in lifting the sunken chest to a normal position in the second photo.

x ray radiology photo on vacuum bell

Patient 2 CT Scan Image

Again, you can also see a fantastic improvement in the raising of the indented chest. This proves how effective the vacuum bell therapy is in correcting the pectus excavatum deformity.

What Doctors Have to Say About the Vacuum bell

doctors explaining the benefits of vacuum bell for concave chest

Dr. Corey Iqbal is a general surgeon in Overland Park, Kansas, and is allied with Overland Park Regional Medical Center. He did postgraduate training at the Mayo Clinic and has a track record of trying innovative things.

Dr. Corey received his medical degree from the University of Missouri – Kansas City School of Medicine.

Here is what he had to say about the vacuum bell therapy for pectus excavatum in a recent 2019 interview for Kansas City’s most extensive, award-winning healthcare network. In addition, he said the following:

“The risks of a vacuum bell therapy are minimal, while the benefits are potentially significant.”

Dr. Corey Iqbal

You can read the full interview about why he is such a massive fan of the vacuum bell therapy for pectus excavatum here.

What Other Surgeons Have to Say

Also, lots of other surgeons started implementing the suction bell therapy. Dr. Robert J. Obermeyer is the leader of the non-surgical correction of the inverted chest at CHKD, the nation’s best exploration facility for chest-wall abnormalities and a teaching site for doctors from around the world.

He said:

“Years from now, we may look at the surgical procedures and realize that many of these deformities could’ve been repaired with vacuum devices.”

Robert J. Obermeyer

The vacuum bell is the first non-surgical device pectus excavatum specialists ever used to fix a funnel chest. Dr. Obermeyer also said, “CHKD has always made attempts to decrease operating, and I believe this could wipe out the need for surgery in some pectus excavatum patients,”

In the video below, you can see Dr. Obermeyer applying the vacuum bell to a patient with a sunken chest who doesn’t want to undergo surgery. The VB device is used in Europe for many years, yielding incredible results. Investigation indicates that the chest improvement could be permanent.

Dr. Obermeyer went to see pectus experts in Switzerland who used the vacuum bell effectively. Ever since he has been active in bringing this technology to the United States. However, it is strange how the vacuum bell therapy for pectus excavatum is still dismissed by conventional medicine as an “alternative method.”

It shows that many doctors are not seriously concerned with the non-surgical treatment of the deformity. Every established surgeon prefers to operate.

That’s what they studied and learned in medical school for plenty of years. I really can’t blame them at all. That is the way they earn their money. Since the beginning of the health system, there was nothing but surgery for pectus excavatum correction.

Now there is an alternative, the vacuum bell method.


Plenty of scientific studies show satisfactory results when it comes to vacuum bell correction for pectus excavatum. Also, a lot of surgeons worldwide start to implement the VB therapy for their patients.

4 Fundamental Things You Must Know About the VB

Where to Apply the Vacuum Bell

In most cases, the placing of the suction cup is done over the center of the hollowed chest, in between the nipples. As a guideline, try to apply the device’s hose nozzle over the sternum’s upper area.

How to Attach the Vacuum Bell

To attach the device, it’s silicone ring should be spread and moderately pressed to the body. It should tighten up by itself when its inner sides come into contact with the skin. When the vacuum is applied, the VB should attach to your body by itself.

How to Apply Suction Pressure

The vacuum force is generated when you press the suction pump. To further increase the negative vacuum pressure, press the suction pump again when it regained its original form.

How to Take It Off

The vacuum bell needs to re-expose to air. For this to be done, you need to do the following thing. At the end of a therapy session, you should turn the suction pump’s air inlet valve. That is done, so air will come into the device slowly to avoid sudden aeration.

vacuum bell thearpy is more effective than surgery

vacuum device therapy on indented chest

how to purchase eckart klobe device

Pectus Healing Vacuum Bell Device Review

pectushealing vacuum bell


  • Free shipping worldwide.
  • 10 Year manufacturer guarantee! No other vacuum bell producing company offers that. Not even Eckart Klobe’s company.
  • Copper connector instead of a cheap plastic one that can break easily.
  • Highest grade Medical silicone makes it impossible for skin allergies to occur, and fits the patient perfectly.
  • No plastic elements that are prone to breaking.
  • 100% Atoxic.
  • 12 different sizes to choose, depending on your deformity.
  • Sizes 11, 12,5 and 14 cm are build for children with pectus excavatum.
  • You will never get pressure loss during the application, which is extremely important.
  • Awesome customer reviews on Reddit.
  • The company is an official supplier of many hospitals and medical doctors in Russia.


  • You’ll have little red spots after you take it off
  • Feel quite uncomfortable while running
  • It can take up to 2-3 weeks until the product is shipped to the United States.
  • The women’s breasts can get pulled in when the vacuum is applied.

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doctor appointment increases vacuum bell total price

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fritz lange creator of vacuum bell treatmentlewis spitz non surgical treatment of pectus excavatum

eckart klobe uses vacuum bell

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eckart klobe visits doctor

4 Parts of Vacuum Bell That Actually Have Names

what is the vacuum bell made of1.

1. Suction Cup (Elastic Body)

The elastic body of most vacuum bells are made of orthopedic silicone. It is very flexible, pleasant to wear, and very compatible with the skin. At the same time, it is exceptionally durable and easy to clean.

Its chemical and mechanical attributes are also great. Don’t worry about it causing chemical reactions on your skin.

2. Viewing Window

Every single vacuum bell on today’s market has a viewing window. It is made of polycarbonate.Polycarbonates used in VB are very tough. They are optically transparent. Through the window, you can see how your hollow chest raises when you apply vacuum.

3. Hose Nozzle

It is made of polyamide. The screw-coupling in the middle of the hose nozzle and the viewing glass has a reduced steadiness.If you break the hose nozzle, you can ask the manufacturer of the device for a replacement. However, the chances of this to happen are very minimal.

4. Suction Pump & Suction Hose

They’re made of PVC (Polyvinyl chloride).

Due to security hazards, the power of the suction bulb is restricted. Because of this, you should only use the suction bulbs that come with the device.

Back in the days, Eckart Klobe’s vacuum bell concepts were so powerful that they could generate a powerful vacuum harmful to the skin.

vacuum bell available dimensions

central pectoralis excavatum

patient with asymmetric sunken chest

widely spread pectus excavatumcustom shaped vacuum bell for women

How a Suction Bell Therapy Should Go

doctor applies vacuum device on patient

It is recommended to apply the first VB therapy under medical supervision. If you choose to overlook this and start the treatment in your home, I advise you to have a relative or a friend right next to you.

You start by lying down to set the suction cup on your chest. It should be placed tightly and comfortably. Slowly pump and increase the vacuum pressure. There shouldn’t be any considerable pain. Feel how the inverted chest starts to lift to the transparent glass of the device.

At this point, it is entirely natural to have mixed feelings. You’ll feel hopeful, but at the same time, you’ll feel slight discomfort. Pump and apply negative pressure to the point where you feel a minor ache.

Then, carefully try to stand up and walk around your room. Notice how the device stays on your chest without falling. That’s the power of negative pressure.

You can wear it underneath your shirt. Nobody will notice the device unless you wear a shirt that is too tight. You can wear the VB and do the therapy at school, at work, going for a drink with your friends, etc.

student wearing vacuum bell at school

According to Eckart Klobe, 15 minutes of wearing time is enough for the first time.

Your goal isn’t to correct the deformity after one single therapy. The purpose of the first session is to get familiar with the power of the vacuum bell. To finish the first therapy, you should do a follow-up Medical check-up.

A lot of patients are starting VB therapy on their own. In my opinion, there is nothing wrong with that. Even Eckart Klobe managed to correct his deformity on his own, using the vacuum bell.

The first time I did the VB therapy, I wasn’t under any medical supervision. However, I had my parents and my brother right next to me. We were aware that VB therapy is safe and doesn’t have any dangerous side effects because many studies confirmed this.

Wear the VB when you have the time. After applying the VB for several weeks, it may be essential to take a break for several days. That’s done to dismiss any chest and skin sensitivity to external pressure.

With time, your protruding rib cage familiarizes with being raised out of the dent. After a few weeks, slowly extend the VB application time to several hours in a day.

It is also advised to do Medical check-ups every month. A month after starting the vacuum bell therapy, I went to my doctor. He was astonished by the fruitful results. That encouraged me to continue with the treatment to the point of total repair.

For long-term correction of pectus excavatum, you should continue to apply the vacuum bell for a year. The length of the therapy depends on the severity of your deformity.


Don’t rush the first vacuum bell therapy. Please be cautious and follow the guidelines that I listed above. Your goal in the first month is to get familiar with the power of the vacuum bell. Make it a habit to wear it on daily basis.

Phases of Treatment

To fix pectus excavatum with vacuum bell therapy, there are three stages that you need to go through. The stages will define the frequency of the vacuum bell application.

Generally, the more you apply the vacuum bell, the softer your breastbone will become. After several months of daily VB application, the treatment won’t be as efficient as when you first started.

Because of that, you will need to take rest days in between vacuum bell applications. That will help you maintain the effectiveness of the treatment.

Phase 1 – Mobilisation 

During the first phase, you will observe rapid improvement in your deformity. You’ll be extremely motivated to continue the treatment because of the success. The breastbone will elevate psychologically, and your bodily appearance will start to change. This will help you both physically and.

This stage will last for representative purposes until your breastbone is raised to roughly 20 mm of depth.

If your breastbone is sunken deeper than 20 mm, I recommend applying the vacuum bell every day. If you notice skin rashes in the area where you use the vacuum bell, then you should apply the device for three consecutive days, followed by one day of rest. One day of rest will give your skin time to heal.

Phase 2

The second stage starts when the deformity improvement starts to slow down, but you can still see weekly improvements. Usually, this stage begins when your sternum depth is about 20 mm and lasts until it improves to 10 mm.

I recommend you apply for the VB for two consecutive days and one day off in this stage. During this phase, your skin will get more itchy and sensitive. You need to practice skincare more intensively.

Phase 3

In the third phase, the progress will grind to a halt. This stage is where you will begin to lose motivation because you’ll see improvement only for several weeks or months. It will start when you go below 10 mm and last until you corrected the pectus excavatum deformity.

If you’re already satisfied with the results you’ve attained, you can stop the vacuum bell treatment midway through this stage and live happily with your flat, repaired chest.

During this stage, you will need to apply the vacuum bell device every other day. If you’re less motivated but still want to continue the therapy, you can even take a week off every month. It will be enough for your skin to heal completely and gain the lost motivation to forever defeat the deformity.

skin rashes caused by suction cup therapy

chest non-blister redness

homemade suction cup

adult patient applying vacuum bell

How Long to Apply the Device Before You See Results?

First 1-4 Weeks of Therapy

When you use the Vacuum Bell, your sunken sternum is pulled up, so it comes close to the device’s viewing window. Younger patients’ chests can almost touch the transparent glass within two weeks of therapy.

Comparatively, older patients or patients with severe pectus excavatum need more than four weeks to reach this point. However, during the first weeks, it is essential not to accelerate this process. Stronger vacuum or prolonged therapy times aren’t required.

Lifting the hollow breastbone too fast is unnatural. It can lead to needless loss of rib cage stability.

After 10 Weeks

At the end of each treatment session, patients will experience the chest to remain in an elevated position throughout the day. After a couple of hours, it slowly falls back to a concave position.

The adults’ chests will stay in a raised position longer, in comparison to younger patients, because their rib cage is firmer.

During the First 12 Weeks

Your posture and overall body appearance will improve considerably. Your chest will remain flattened in between one treatment and the following one, usually the next day. This wasn’t the case in the 1-4 weeks of therapy.

In numerous instances, the improvement during this phase was about 0.4″ (1 centimeter). The effect of the suction bell is most evident during the first 12 weeks.

From the 4th month, the dent reduction is about 1 mm / month.

After 18 Weeks

The patient will have much more physical endurance. Lung capacity and heart functioning will improve. You’ll experience a deeper breath because of the chest expansion.

However, the effect of the suction bell is most evident in the first 18 months. Applying the vacuum bell wouldn’t feel like a responsibility because your body and mind will get used to it.

From the 18th week and on, the reported monthly dent reduction is about 0.04″ (1 millimeter) per month.

How Long Should I Wear the VB Daily?

At the beginning of the therapy, it is enough to apply the vacuum bell two times a day for about 30 minutes. The frequency and wearing time should be increased later in the course of the therapy.

Your body needs to get used to the vacuum bell during the first weeks of therapy. Learn to listen to your body. Don’t force yourself to wear the vacuum bell for about 8 hours in the first week.

If you do that, you’ll feel resentment with using the device. You can’t form a habit this way. According to Mr. Klobe, it is always recommended to start slowly and increase the duration with time.


Start applying the vacuum bell for about 30 minutes a day when starting. Then, gradually increase the duration.

How Much You Should Pump?

When you start the VB therapy, always pump until your inverted chest becomes flat. You can see this through the see-through window of the suction bell.

Consider this as a “warm-up” for your chest. Wait 5 minutes until the chest relaxes and gets used to this new elevated position.

After the 5 minutes pass by, you should squeeze the sucking ball together three times. Then, repeat and pump every 5 minutes.

I always wait until the unpleasant sensation diminishes. After about 20 minutes, the hollow chest is almost touching the window of the suction cup.

At this point, pumping doesn’t do anything. It can’t elevate further because that is as far as it could go. When your chest reaches this point, I recommend you sit in this state for about 40 minutes. After 60 minutes, let air in and finish the successful 1-hour therapy.


Try to pump until the sunken chest is raised up to the transparent window. Listen to your body. If you feel sharp pain, stop immediately.

Simple Tip to Maintain Negative Pressure Without Pumping

I’ve stumbled upon many patients that complain about a problem with negative pressure maintenance. They had to pump continually to maintain the elevated breastbone to the window.

This is very irritating if you’re trying to do therapy while sleeping. During the day, you can pump to maintain the negative pressure. However, it is a whole different story at night.

I had this exact problem while sleeping. As soon as I woke up, I noticed that the suction cup stayed loose on my chest.


There are two things that you must adjust to.

First Problem

The first problem is caused because the pump ball and the valve are not tight. After pumping and reaching the desired chest elevation, take the pump off. At the same time, squeeze the hose tightly so no air will come out.

Most vacuum bells usually come with a silicone plug designed for this purpose. If it doesn’t include one, any circular item made of metal, plastic, or silicone with a diameter of around 7mm will work. You can grind it out to become cone-shaped. Then, it would be much easier to insert it.

Stick the silicone plug (stopper) in the hose, and you’re good to go. After doing that, the device should work correctly and stay tight without pumping!

See the following video.

Second Problem

The second problem is with the suction cup positioning on your chest. If you try to sleep with the VB applied, you should put it a little lower on your chest.

Contrary, if you place it in a higher position on your chest, the air will slowly get drawn out of the device. You can hear the air getting out.

disadvantages of vacuum bell treatment

how to sleep with a vacuum bell for pectus excavatum

how to sleep with a vacuum bell on

apply body cream on chest redness

blisters on skin after vacuum bell therapy

vacuum bell chest redness

redness around my chest

how long to pump the vacuum bell

how i fixed sunken chest with vacuum bell

Should You Combine Bodybuilding and Suction Bell Therapy?

vacuum bell treatment and weightlifting is great

While I was doing the VB therapy, I also participated in weightlifting and did yoga, 3-5 times a week. The suction bell didn’t impact my training negatively. Surprisingly, it was an extremely positive experience!

I focused mainly on the musculature of my chest, core, and back. Back training should never be neglected. Those muscles are responsible for keeping your posture upright and sturdy. The combination of physical therapy and suction bell treatment made the dent in my chest unnoticeable.

Performing bench press, dips, chest flys, dumbbell pullovers, pull-ups, and rows will have a tremendous positive impact on your deformity. Weightlifting will strengthen you both mentally, physically and will help you build discipline. This will help you in the vacuum bell applying consistency.


I didn’t have any struggle with the discipline of applying the VB daily. I genuinely believe that weightlifting was a direct factor for this. I always thought that performing these heavy exercises was ten times harder than having the discipline to put on the suction cup for a few hours in a day.

If you have the habit of going to the gym for a few days a week, then applying the vacuum device will be a breeze. Additionally, I highly recommend you do yoga, Pilates, or other posture improving exercises before starting the VB treatment.

That will stretch your anterior chest wall. Placing the suction cup directly over the dent will be much easier. Also, the chance for the vacuum bell to fall off your chest will be significantly minimized.

Walking upright with a stable posture will ensure that the suction cup stays on your body tightly.


Combining weightlifting and vacuum bell therapy will make the dip in your chest much less noticeable. Your chest muscles will be toned and muscular, which can also increase your confidence to show your abnormal chest in front of others.

Frequently Asked Questions

Can the vacuum bell bend the bones?

No, it can’t. The solid bone structure can’t be reshaped with the Eckart Klobe suction bell. However, the sternum’s internal joints are moved, the rib cartilage is bent, and the connective tissue fibers and ligaments are stretched.

Are a couple of weeks enough for a full correction?

You can’t permanently repair PE in a couple of weeks. However, the chest will stay elevated on its own after every vacuum bell therapy session. When you apply the vacuum bell, the trunk is flattened.

Many patients with a compressed heart and lungs feel a substantial relief while applying the vacuum bell. The device decompresses its chest. The patients instantly feel their lungs expanding to a point they never felt before.

However, this type of correction is only a mobilization of the chest. After you take the vacuum bell off, the dent in the chest will fall back again.

It takes plenty of months of consistent VB application before the funnel remains stable without a suction cup.

Is it possible to permanently correct 1 centimeter in less than three months?

That is possible. In most cases, the caved-in chest is closely associated with postural flaws such as scoliosis, round back, forward head posture, and rounded shoulders.

According to Dr. Eckart Klobe, correcting the posture problems with stretches and physiotherapy exercises will help faster repairing with VB.

Is the correction progress slower after three months?

During the first months, you should finish the most straightforward steps. Those are chest mobilization, improving posture, and upper body muscle strengthening.

The most tedious and challenging task during vacuum bell therapy is stabilizing the sternum in a raised position.

How can I make progress after three months?

During the first three months, the mobilization phase stretches the fibers, ligaments, and joints in the anterior chest wall. Mobilization is done by applying the vacuum bell on the inverted chest for at least an hour a day.

To stabilize in an elevated position permanently, the sternum should be kept in a raised place as often and as long as possible. To simplify, try to increase the duration of the VB application gradually. Try to use the device while you sleep.

Aim to wear the VB for at least 4 hours a day in the second phase (month 3-6).

How long can you wear the suction cup?

Essentially, as much and as long as possible. That’s how you correct the pectus excavatum deformity in the shortest time frame. However, individually, there are lots of significant differences.

Some patients can tolerate only half an hour of VB application. Truth to be told, that isn’t enough to correct the funnel chest without surgery. Usually, sensitive skin is the biggest reason patients can’t endure even a 30 minute VB therapy session.

You must learn to listen to your body. If you’re feeling severe aches, please contact a specialist and stop the therapy. If everything goes smoothly, in the first weeks, you will be able to tolerate shorter therapy sessions.

With time, you should increase the wear time gradually.

vacuum bell applied to a kid

How Powerful are Vacuum Bells for Pectus Excavatum?

A regular vacuum bell’s power is enough to lift a maximum of 1 kg per square centimeter. This isn’t enough to lift a sunken sternum.

However, the suction cups that are designed to fix pectus excavatum can generate mind-blowing force. Let’s take Eckart Klobe’s vacuum bell, for example.

The surface of his circular VB is 20 cm in diameter. That’s roughly 315 square centimeters. This device can lift a total of 314 kg with full vacuuming.

With partial vacuuming, the suction forces are congruently lower. For example, if you use 15% of the device’s vacuuming power, it is enough to pull around 47 kg.

That’s why modern vacuum bells can pull out the indented chest to the device’s transparent window. Some patients use the VB’s maximal capacity, so their inverted chest goes into a “pectus carinatum shape.”


The vacuum bells are extremely powerful. They can pull up to 314 kg with full pressure applied.

6 Occasions When Not to Use VB

Eckart Klobe clearly stated a few circumstances in which the Vacuum Bell should not be used. Don’t use the VB therapy if you suffer from diseases that alter the strength of the bones.

Such diseases are:

In the case of Angiopathy. That is a standard term for an illness of the blood vessels (veins, arteries, and capillaries). These can result from:

If you suffer from Coagulation Dysfunctions. These are disturbances in the body’s capability to regulate blood coagulation, involving:

Is Using VB Pre-Treatment Before Surgical Procedure Effective?

vacuum bell used pre surgery

There is a discussion between patients and physicians, whether using VB therapy before an operation is helpful. However, the vacuum bell cost in the United States needs to be covered by the patients. Because of this, most patients aren’t interested in this “pre-therapy.”

Recent studies showed no remarkable difference between patients that did the VB therapy before surgery and those who opted directly for primary surgery. In my opinion, there is no reason to purchase the vacuum bell device if your end plan is to opt for a Minimally Invasive Nuss procedure. It’ll only add up to the costs.

The vacuum bell is powerful enough to fix the pectus excavatum deformity on its own.


Don’t purchase a vacuum bell if you plan to undergo a surgery to fix your chest.

How to Remain Motivated and See Results

If you want to see progress and success, you must measure the deformity regularly. I used to measure my chest with a ruler weekly and note the result on paper.

The vacuum bell therapy requires a lot of patience. It is hard to notice the results just by looking at yourself in the mirror. You can gain a lot of motivation by merely looking at the progress that is evident on paper.

It’s hard to notice any improvement in the caved-in chest, especially if you look at your body every day. The vacuum bell therapy won’t be useful for the impatient! Always remember, the funnel chest correction can take up to 2 years!

Another useful measurement tip is to take photos (front view and two lateral views at 45° and 90°). First, take photos before starting VB therapy. After that:

  • Take pictures of your chest every two weeks
  • Import these photos to your computer
  • Make sure you save them to a Cloud Storage service because a single computer crash can be fatal to your photos.

Remember to measure your chest after taking off the device for 14 hours. As you already know, the chest will be raised to a normal position after each session of VB therapy. It will gradually fall back to a hollow position, but not as deep as before.

That’s why 14 hours of wait is required to have the same foundation. After taking photos every week, I can proudly say that I raised the dent by 2 mm every month in the first stages of treatment.

As I previously stated, the progress stalls after a few months. However, if you do the math, that is still about a 2 cm correction in a year! That is more than enough to correct the deformity and make the sunken chest less visible.

If you have a more severe case of pectus excavatum, you must continue with the treatment even after a year. Be patient, take measurements, and trust the process.

I wish you continuous achievements and persistence!


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