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Nuss Procedure for Adults Treatment of Pectus Excavatum

Dr. LoSasso is one of the only surgeons in the United States who offers Nuss Procedures for adults as well as teenagers.

Originally pioneered by Dr. Nuss in the 1990s, the Nuss Procedure was less invasive than previous techniques. Historically, using the Nuss Procedure as an option for Pectus Excavatum surgery for adults  is less common because fully developed chests are less pliable.

In 2014 the University of Pennsylvania’s Perelman School of Medicine published a review of a long list of studies on pectus excavatum surgery. The study concluded that although the Nuss procedure is easier on younger patients, it appears to be safe and effective on adults in the short term, at least.

Per the NCBI (National Center for Biotechnology Innovation), “In our opinion, patients older than 20 years with a moderate-to-severe pectus excavatum should be scheduled for a Nuss procedure as the first option to correct chest deformity.”

What is pectus excavatum?
This term refers to a chest wall deformity resulting in a sunken breastbone (sternum). It is sometimes called “funnel chest” and usually involves the lower half of the sternum. Although it is most common in the middle of the chest, it may move to one side, usually the right.

Are there special considerations for adults with pectus excavatum?
Although the majority of patients with pectus excavatum undergo repair during childhood, there are no contraindications for repair in the adult. Both the open Ravitch and Nuss type of repair can be successfully performed in the adult with excellent results.


The Valley Hospital is a fully accredited, acute care, not-for-profit hospital serving more than 440,000 people in 32 towns in Bergen County and adjoining communities.

The hospital is located at: 223 N. Van Dien Avenue, Ridgewood, NJ 07450. The main number is 201-447-8000.

Valley has been recognized nine consecutive times for service excellence under the J.D. Power and Associates Distinguished Hospital Program. This distinction acknowledges a strong commitment by The Valley Hospital to provide an outstanding patient experience. Valley was the first hospital in the tri-state area to be awarded this distinction.

Adult Nuss Procedure
Dr. LoSasso has been successfully treating pectus excavatum in adults for many, many years.
Dr. LoSasso has been successfully treating pectus excavatum in adults for many, many years.
Dr. LoSasso performed the Nuss procedure on me when I was 50 years old. I am two years post-op and my health couldn’t be better. If you are an adult with PE, you need a surgeon with plenty of experience.

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Dr. LoSasso works with patients from all over the United States.

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Contact our Patient Support team today! We can answer your questions and begin the consultation process.

Office Phone: (201) 225-9440