Poland Syndrome Treatment

in Palm Beach Gardens & Jupiter, Florida

Medically Reviewed by: David A. Lickstein, MD, FACS
Board Certified Plastic Surgeon
Last Updated: August 12, 2025

Poland syndrome is a rare congenital condition that affects chest wall development, creating physical asymmetry that can significantly impact a person’s confidence and quality of life. At Lickstein Plastic Surgery, serving Palm Beach Gardens, Jupiter, and the surrounding South Florida communities, Dr. David Lickstein and Dr. Craig Forleiter provide comprehensive surgical solutions to address the unique challenges presented by this condition.

This complex congenital anomaly requires specialized knowledge and surgical skill to achieve optimal results. Our practice combines advanced reconstructive techniques with compassionate care to help patients restore both physical symmetry and emotional well-being.

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What is Poland Syndrome?

Poland syndrome is a rare birth defect characterized by the underdevelopment or complete absence of chest muscles on one side of the body, most commonly affecting the right side. According to the National Organization for Rare Disorders (NORD), this condition occurs in approximately 1 in 20,000 to 1 in 100,000 births, with males being affected three times more frequently than Trusetd Source Checkbox Trusted Source Poland Syndrome National Organization for Rare Disorders Go to Source
females.

The condition was first described by British surgeon Sir Alfred Poland in 1841 and can present with varying degrees of severity. The hallmark feature is the absence or underdevelopment of the pectoralis major muscle, but the condition may also involve:

  • Breast tissue underdevelopment or absence (particularly noticeable in females)
  • Chest wall deformities affecting the ribs and cartilage
  • Hand and finger abnormalities on the affected side
  • Shortened or webbed fingers (syndactyly)
  • Underdeveloped forearm muscles

Understanding the Impact

The physical manifestations of Poland syndrome extend beyond cosmetic concerns. Patients may experience functional limitations, particularly in activities requiring upper body strength or coordination. The psychological impact can be equally significant, especially during adolescence when body image concerns are heightened.

“Poland syndrome affects not just the physical appearance but also the emotional well-being of patients,” notes Dr. Lickstein. “Our approach focuses on addressing both the functional and aesthetic aspects to help patients achieve their personal goals and regain confidence.”

Dr. Forleiter echoes this patient-focused philosophy, emphasizing natural results achieved through a balance of art and science. His expertise in cosmetic and reconstructive breast surgery adds valuable perspective in treating the complex challenges of Poland syndrome.

Comprehensive Treatment Options for Poland Syndrome

Treatment for Poland syndrome is highly individualized, depending on the severity of the condition and the patient’s specific goals. Our surgical approach may involve multiple procedures performed in stages to achieve optimal results.

Breast Reconstruction and Augmentation

For female patients, breast asymmetry is often the most concerning aspect of Poland syndrome. Treatment options include:

Implant-Based Reconstruction

  • Tissue expander placement followed by permanent implant
  • Direct-to-implant reconstruction when adequate tissue coverage exists
  • Customized implant selection to match the unaffected breast
  • Unilateral breast augmentation to restore balance when only one breast requires volume enhancement
  • Contralateral mastopexy, with or without augmentation, to lift or reshape the opposite breast for improved symmetry

Autologous Tissue Reconstruction

  • Latissimus dorsi flap reconstruction to replace missing muscle and create breast volume
  • Fat grafting to enhance contour and improve symmetry
  • Combination approaches using both implants and natural tissue

Advanced Techniques and Technology

Our practice utilizes the latest surgical techniques and technologies to optimize outcomes:

3D Imaging and Planning

Advanced imaging allows us to:

  • Visualize the chest wall anatomy in detail
  • Plan implant placement with precision
  • Show patients potential outcomes before surgery

Minimally Invasive Approaches

When appropriate, we employ minimally invasive techniques to:

  • Reduce scarring
  • Minimize recovery time
  • Preserve healthy tissue

Custom Implant Solutions

For complex chest wall deformities, custom-made implants may be designed to:

  • Match the patient’s unique anatomy
  • Provide optimal contour restoration
  • Ensure long-term stability

The Surgical Process and Recovery

Initial Consultation and Planning

Every Poland syndrome case requires careful evaluation and personalized treatment planning. During your consultation, we will:

  • Conduct a comprehensive physical examination
  • Review your medical history and previous treatments
  • Discuss your goals and expectations
  • Develop a customized surgical plan
  • Explain the staged approach if multiple procedures are needed

Surgical Procedure

The complexity and duration of surgery depend on the specific procedures required. Most Poland syndrome reconstructions are performed under general anesthesia and may require:

  • Single-stage procedures: For less complex cases involving primarily breast reconstruction
  • Multi-stage approaches: For comprehensive reconstruction involving chest wall, breast, and potentially hand corrections

According to research published in the Journal of Plastic and Reconstructive Surgery, staged reconstruction approaches often yield superior long-term results for Trusetd Source Checkbox Trusted Source Reconstructive techniques for chest and breast deformities in Poland syndrome: An up-to-date systematic review Grande PK, Mortell T, Chang AE, Krakauer KN, Akhter MF, Nazerali RS, Cheesborough J Go to Source complex Poland syndrome cases.

Recovery and Healing

Recovery timelines vary based on the extent of reconstruction:

  • Initial healing: 1-2 weeks for basic activities
  • Return to work: Typically 2-3 weeks for desk jobs, longer for physical occupations
  • Exercise restrictions: 6-8 weeks before resuming full activities
  • Final results: May take 6-12 months as swelling subsides and tissues settle

“The recovery process requires patience, but seeing patients regain confidence in their appearance makes every step worthwhile. We provide comprehensive support throughout the healing journey.”

Dr. Lickstein

Risks and Complications

As with any surgical procedure, Poland syndrome reconstruction carries certain risks. Dr. Lickstein believes in complete transparency about potential complications:

General Surgical Risks:

  • Infection (occurs in less than 2% of cases)
  • Bleeding or hematoma
  • Adverse reaction to anesthesia
  • Poor wound healing

Procedure-Specific Risks:

  • Implant-related complications (capsular contracture, rupture)
  • Asymmetry requiring revision surgery
  • Changes in nipple or breast sensation
  • Scarring (though techniques minimize visible scarring)

Long-term Considerations:

  • Implants may require replacement after 10-15 years
  • Natural aging changes may affect results
  • Pregnancy may alter breast appearance

Dr. Lickstein discusses all risks thoroughly during consultation and provides detailed pre- and post-operative instructions to minimize complications.

Addressing Common Concerns

Insurance Coverage

Many insurance plans provide coverage for Poland syndrome reconstruction as it is considered a congenital deformity rather than cosmetic surgery. We work closely with insurance providers to:

  • Obtain necessary pre-authorizations
  • Document medical necessity
  • Maximize coverage for our patients

Long-term Outcomes

Research from the American Society of Plastic Surgeons indicates high patient satisfaction rates with Poland syndrome reconstruction when performed by Trusetd Source Checkbox Trusted Source Implants Made by Computer-Aided Design Provide Good Results in Patients with Rare Chest Muscle Deformity American Society of Plastic Surgeons Go to Source experienced surgeons. Long-term considerations include:

  • Implant longevity and potential future revisions
  • Natural aging changes
  • Pregnancy considerations for female patients
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Psychological Support

We recognize the emotional aspects of living with Poland syndrome and can provide referrals to counselors who specialize in body image concerns and congenital conditions.

Frequently Asked Questions

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Where can I find Poland syndrome treatment near me?

Lickstein Plastic Surgery provides specialized Poland syndrome treatment for patients throughout Palm Beach Gardens, Jupiter, West Palm Beach, and the greater South Florida region. Dr. Lickstein's extensive experience with complex reconstructive procedures and commitment to personalized care makes our practice a trusted choice for patients seeking comprehensive treatment for this rare condition.

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Can I combine other treatments with Poland syndrome reconstruction?

Yes, Poland syndrome reconstruction can often be combined with complementary procedures to optimize results. Common combinations include breast lift or reduction on the unaffected side to achieve better symmetry and chest wall contouring procedures. During your consultation, we'll discuss which combination of treatments will best address your specific needs and goals.

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How do I know if I'm a candidate for Poland syndrome surgery?

Candidates for Poland syndrome reconstruction are typically individuals who have completed their physical development (usually after age 18 for major reconstructions) and are in good overall health. The decision to proceed with surgery depends on the severity of the condition, functional limitations, and personal goals. We evaluate each case individually to determine the most appropriate treatment approach.

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What should I expect during the consultation process?

Your initial consultation will include a comprehensive evaluation of your condition, discussion of treatment options, and development of a personalized surgical plan. We'll review before-and-after photos of similar cases, discuss expected outcomes, and address any concerns you may have. This is also an opportunity to learn about our practice, meet our team, and ensure you feel comfortable with your decision.

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How long do the results of Poland syndrome reconstruction last?

The results of Poland syndrome reconstruction are generally long-lasting. While implants may require replacement over time (typically every 10-15 years according to FDA guidelines), the structural improvements to the chest wall and overall symmetry are [tooltip title="Risks and Complications of Breast Implants" text="S Food and Drug Administration" source="#sources"]permanent.[/tooltip] Natural aging and life changes may affect the appearance over time, but the fundamental correction remains stable.

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About our Surgeons

Dr. David Lickstein is a board-certified plastic surgeon by the American Board of Plastic Surgery with extensive training in reconstructive and aesthetic surgery. He completed his medical degree at Northwestern University Medical School and his plastic surgery residency at Tufts-New England Medical Center and Massachusetts General Hospital. Dr. Lickstein is a Fellow of the American College of Surgeons (FACS) and maintains active memberships in the American Society of Plastic Surgeons and other professional organizations.

Dr. Craig Forleiter is also board-certified by the American Board of Plastic Surgery and brings extensive experience in breast and reconstructive surgery. Known for his compassionate approach and attention to detail, he specializes in procedures that restore balance and symmetry for patients with congenital and acquired breast conditions. Dr. Forleiter is committed to delivering personalized care and long-lasting, natural-looking results.

Ready to Take the Next Step?

Contact us today to schedule your private consultation and discover how Poland syndrome reconstruction can help you achieve the balanced, natural appearance you’ve always wanted.

Schedule A Consultation For Breast Augmentation

If you're ready to address the challenges of Poland syndrome and restore symmetry to your chest and breast area, contact Lickstein Plastic Surgery today. Dr. Lickstein and his experienced team are committed to helping you achieve natural-looking results that enhance your confidence and quality of life. Living with Poland syndrome doesn't have to define your self-image. Our comprehensive approach to reconstructive surgery can help you feel more comfortable and confident in your own skin. Whether you're seeking breast reconstruction or chest wall contouring, we're here to guide you through every step of your transformation journey.

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Medical Disclaimer
This information is for educational purposes only and should not replace professional medical advice. Individual results may vary, and not all patients are candidates for every procedure. Dr. Lickstein will provide personalized recommendations based on your specific condition and goals during consultation.

Editorial Review Process: This content has been medically reviewed by Dr. David A. Lickstein, MD, FACS, and is updated regularly to reflect current medical standards and practices.

Trused Source Icon - Checkbox Sources

1 National Organization for Rare Disorders. Poland Syndrome. Available: https://rarediseases.org/rare-diseases/poland-syndrome/. Accessed August 12, 2025.

2 Grande PK, Mortell T, Chang AE, Krakauer KN, Akhter MF, Nazerali RS, Cheesborough J. Reconstructive techniques for chest and breast deformities in Poland syndrome: An up-to-date systematic review. J Plast Reconstr Aesthet Surg. 2025 Feb;101:207-215. doi: 10.1016/j.bjps.2024.12.008. Epub 2024 Dec 30. PMID: 39818015. Available: https://pubmed.ncbi.nlm.nih.gov/39818015/. Accessed August 12, 2025.

3 American Society of Plastic Surgeons. Implants Made by Computer-Aided Design Provide Good Results in Patients with Rare Chest Muscle Deformity. Available: https://www.plasticsurgery.org/news/press-releases/implants-made-by-computer-aided-design-provide-good-results-in-patients-with-rare-chest-muscle-deformity. Accessed August 12, 2025.

4 U.S Food and Drug Administration. Risks and Complications of Breast Implants. Available: https://www.fda.gov/medical-devices/breast-implants/risks-and-complications-breast-implants. Accessed August 12, 2025.

The Doctors at Lickstein Plastic Surgery have either authored or reviewed and approved this content.
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