HIGHLIGHTS
What stands out in this treatment
OVERVIEW
Who it's for
Who is it for?
Children, teens and adults with a sunken breastbone
Those reporting breathlessness or early fatigue on exertion
Families looking for a non-surgical option for their child
Those whose daily life is affected by the shape of the chest
Those whose depression returned after an earlier repair
TREATMENTS
Treatment options
Which method suits whom
Three findings decide the method: how flexible the chest is, how deep the depression is and how symmetric. The decision is made with you after examination, CT measurements and, if needed, heart and lung tests.
Flexible chest, mild to moderate depression
The non-surgical option first.
Marked depression, flexible chest
Minimally invasive repair.
Rigid, asymmetric or mixed chest
Open repair.
Vacuum, Nuss and Ravitch side by side
All three aim to lift the sunken breastbone. They differ by how flexible the chest is and by the type of depression.
| Vacuum bell therapy | Nuss procedure | Ravitch (open repair) | |
|---|---|---|---|
| Suitable chest | Flexible; mild to moderate depression | Relatively flexible; marked depression | Rigid, asymmetric or mixed |
| Approach | Negative pressure from outside the chest | A bar behind the breastbone | Cartilage removed, bone repositioned |
| Incision | None | Small side incisions | An incision on the front of the chest |
| Anaesthesia and stay | None; used at home | General anaesthesia; usually a few days | General anaesthesia; a few days to a week |
| Length of treatment | Months, sometimes years of regular use | Bar stays a few years, then a short second procedure | One operation; a support bar if needed |
| Visible scar | None | Small scars on the sides | A scar on the front of the chest |
| Daily life | Mostly used at home, outside school hours | Heavy lifting and contact sport wait a few months | Desk work in a few weeks; contact sport after a few months |
When to treat
The chest wall is more flexible in adolescence, so this period is often preferred for vacuum and Nuss. In young children for whom surgery is still early, vacuum may be the first option.
Adults can be treated too; as the chest stiffens, Nuss may need more than one bar or open repair comes to the fore.
TREATMENT TIMELINE
From day one to discharge
The timeline below is an average and varies by patient, diagnosis and clinical status. Exact timing and all included services are detailed in your personalized treatment offer.
Application
Sharing photos, tests and symptoms; remote preliminary review
Measurement
Examination, CT and, if needed, echocardiography and breathing tests
Choosing the Method
The choice of vacuum, Nuss or Ravitch is made with you
Treatment
Vacuum training and home programme, or surgery with planned pain control
Follow-up
Regular check-ups; if a bar was used, its removal after 2–3 years
Every treatment offer is presented in full detail — accommodation, transfer, interpreter and follow-up included — clearly stating what is covered.
HOW IT WORKS
A completely carefree treatment journey
1
Online application
Fill the form or message us on WhatsApp; share your file in seconds.
2
Free evaluation
Our specialists review your file and reply within 24 hours.
3
Personalized plan
Treatment steps, timeline and transparent cost are clarified.
4
Welcome & treatment
Airport pickup, accommodation and treatment — coordinated end to end.
BY THE NUMBERS
Our center in numbers
3
methods: vacuum, Nuss, Ravitch
Haller
index measures the depression
50+
countries of patients served
7/24
medical interpreter support
TECHNOLOGY
Our diagnostic and treatment technologies
Technology
WHY DORUK
What sets us apart here
Decisions rest on measurement
Depth and symmetry are measured on CT or MRI; values such as the Haller index feed into the choice of method.
Non-surgical options first
For a flexible chest, bracing or vacuum is considered first; the timing of surgery is planned with the family around growth.
Heart and lung impact is screened
When needed, echocardiography, ECG and lung function tests assess the effect of the deformity.
Pain control is planned in advance
Epidural, nerve block and patient-controlled analgesia options are planned with you before surgery.
International patient team
From preliminary review to discharge, transfer, accommodation and a medical interpreter come from one team.
INFO & BLOG
About diagnosis, treatment and recovery
What is pectus excavatum?
How is the right method chosen for me?
Is treatment without surgery possible?
Does pectus excavatum affect the heart and lungs?
What is the best age for treatment?
What is the difference between Nuss and Ravitch?
PRICING
Transparent treatment pricing
Pectus excavatum evaluation & second opinion
Review of photos and existing tests by the thoracic surgery team; a personalized, guaranteed quote
Free
Nuss procedure (bar included)
$9,500 – $12,500
Ravitch procedure (open repair)
$7,000 – $9,500
Vacuum bell device + training + follow-up
Request a quote
Indicative price range, given before we have seen you. After medical communication and consultation you receive a net, payment-guaranteed price in writing: unless a medical obstacle arises, only the quoted amount is charged when the procedures are performed, and it covers the procedures listed as included in the quote. Our priority is to do what is medically right; our financial promise is to deliver the promised service at the promised price.
PRICE GUARANTEE
Our quote is a binding commitment
The quote prepared and shared based on the medical information you provide is guaranteed: for every treatment it covers, the hospital charges no extra fees.
Written, binding quote
Your quote is prepared from your medical information and shared in writing.
No surprise charges
For the treatments the quote covers, the hospital requests no extra charge.
All covered treatments included
Every planned treatment is included in the guaranteed price.
PATIENT VOICES
What our patients say
The treatment here is truly excellent. I feel myself getting better every day.
Vilma
Netherlands · Rehabilitation
We were very pleased with the level of service, the attention and the care.
Nurles
Kyrgyzstan · Check-up
FAQ
Frequently asked questions
Is the consultation paid?
How do I apply from abroad?
Visa and transfer support?
How is post-care follow-up?