The Pectus Carinatum
+ Rib Flare Program
For the chest that pushes out in the middle and flares at the bottom. The evidence-based system to flatten the profile and stack the ribcage.
"Carinatum responds to pressure. The flare responds to position. This trains both."
Why the protrusion and the flare travel together - and how to train both at once.
The brace does the reshaping. Training does the framing. Here is the plan.
It pushes out in the middle,
and flares at the bottom.
Most advice treats these as one thing, or the wrong thing. So people grind through generic chest workouts that can make the ridge pop more, and never touch the flare or the posture underneath it.
The brace reshapes.
Training frames.
Compression bracing reshapes a flexible chest - that is the reshaping. Training's job is the framing: build a balanced, back-led frame, bring the flared ribs down with breathing and anti-extension core, and hold a stacked posture so the protrusion is less prominent and bracing works better. Two levers, one plan, fully cited.
Backed by the research,
not just my opinion.
Transformations & Real Stories
Read them by rating, or by what people actually got out of it - the transformations, the honest reviews, and the messages that land in my inbox every week.
across 35 rated statements
500+ reviews collected since 2015. Open a bar, a tag or a condition to read the published ones.
What the 4.8 is made of
45 published statements · 500+ collected since 2015
- ★★★★★
Mihail doesnt sugarcoat anything. told me exactly what to expect and exactly how long it would take. 12 months in and my carinatum is flat. i finally take my shirt off at the beach
Aiden R. PC 19
1-on-1 Coaching Melbourne, Australia 🇦🇺
- ★★★★★
The carinatum brace is really well made. fits perfect to my chest and i can wear it under a t-shirt at work. results started showing around 4 months
Nico P. PC 17
Pectus Carinatum Brace Milan, Italy 🇮🇹
- ★★★★★
My son is 15 and was getting self-conscious at the pool. The carinatum brace and the fortnightly check-ins are what kept him consistent. Six months and the ridge has visibly dropped.
Parent of Ethan PC 15
Pectus Carinatum Brace Michigan, USA 🇺🇸
- ★★★★★
Wore it 8 hrs a night for 5 months. the ridge is basically gone. im 16 so i got lucky on timing, but you still have to wear it every single night. beat the operation they were lining us up for
Elias PC 16
Pectus Carinatum Brace Bergen, Norway 🇳🇴
- ★★★★★
The wear-schedule chapter is honestly the whole product. everywhere else online just goes "wear a brace" and leaves you to figure out the rest
hamza PC 20
Pectus Carinatum Course Casablanca, Morocco 🇲🇦
- ★★★★★
spent two years hiding the ridge under hoodies before i actually did anything about it. what changed it was the carinatum program - building the chest and back around the ridge instead of just bracing and hoping. six months in and it reads flat enough that the hoodies are gone
Rafael PC 22
PC Exercise Program Cebu, Philippines 🇵🇭
- ★★★★★
He replied to my messages same day, every time. at 17 with a chest you hate, that matters way more than the plan does honestly
Théo PC 17
1-on-1 Coaching Ghent, Belgium 🇧🇪
- ★★★★★
solid guide and the pressure numbers are genuinely useful. half a star off cus im 28 and the whole thing is pitched at teenagers. an adult section, where the timelines are honestly different, wouldve been worth a lot to me
Jonas B. PC 28
Carinatum Brace Guide Aarhus, Denmark 🇩🇰
- ★★★★★
I came across your blog about a year ago and I just want to say how much you've changed my life for the better. I thought it was going to be another average article, but the tips you gave were things I hadn't heard of before. Now I've improved so much and im more confident then ever.
Cristian PE 17
Read the blog USA 🇺🇸
- ★★★★★
Had rib flare since i was a teen. the brace plus the breathing drills changed everything. my waist looks normal in a fitted shirt for the first time in my adult life
Daniel K. Rib Flare 27
Rib Flare Brace Bristol, UK 🇬🇧
- ★★★★★
spent two years researching surgery before i found this. six months in and i wish id found it sooner. the progress photos dont lie
Tom W. PE 24
Pectus Excavatum Course Manchester, UK 🇬🇧
- ★★★★★
the breathing protocol alone changed how i feel day to day. didnt realise how shallow i was breathing until i fixed it. the rib flare correction kind of followed on its own
Sam B. Rib Flare 21
Rib Flare Course Oregon, USA 🇺🇸
- ★★★★★
Was skeptical, id tried everything before. the custom vacuum bell was different to anything id used. three months of consistent use and i can already see the sternum coming up
Chris L. PE 31
Vacuum Bell Toronto, Canada 🇨🇦
- ★★★★★
direct, no nonsense. mihail knows this condition better than any doctor ive seen. my GP was shocked when i showed him my 9 month comparison photos
Ryan H. PE 29
1-on-1 Coaching Dublin, Ireland 🇮🇪
- ★★★★★
the course structure is exactly what i needed. not overwhelming, not vague. each module builds on the last and you always know what to do next
Jake M. Rib Flare 23
Rib Flare Course Texas, USA 🇺🇸
- ★★★★★
been watching mihails youtube since 2017. finally bought the program in 2023 and kicked myself for waiting. shouldve trusted him years earlier
Liam O. PE 26
PE Exercise Program Auckland, New Zealand 🇳🇿
- ★★★★★
what sold me is that every claim links to a study. only place online that treats pectus like an actual training problem instead of selling a miracle
David P. Rib Flare 34
Read the blog Rotterdam, Netherlands 🇳🇱
- ★★★★★
Seven months with the bell now. dip is maybe half what it was and i've stopped turning sideways away from people at the gym lol. didnt expect that part
Tobias PE 24
Vacuum Bell Hamburg, Germany 🇩🇪
- ★★★★★
started at 19 with a chest i couldnt look at in the mirror. went with the excavatum course cus everyone kept telling me nothing but surgery works and i didnt buy it. 5 months of doing the work most days and my chest sits noticeably flatter now - the surgeon who told me wait and see at 17 wouldnt recognise it. only regret is i didnt start the day i turned 17
Wes PE 19
Pectus Excavatum Course Colorado, USA 🇺🇸
- ★★★★★
Nine months in and my cardiologist literally asked what id changed. resting heart rate came down and i sleep breathing through my nose now. still kind of wild to me
Andrés Vásquez PE 31
1-on-1 Coaching Santiago, Chile 🇨🇱
- ★★★★★
1100 pages sounded ridiculous til i realised its a reference not a book you read front to back. im in the vacuum bell chapters basically every day
callum_g PE 22
Breathe Deeper Glasgow, Scotland 🏴
- ★★★★★
Back and rear delt work changed how my chest reads more than anything i did to the actual chest. did NOT expect to be told that
Dmitri PE 29
PE Exercise Program Riga, Latvia 🇱🇻
- ★★★★★
App keeps me honest ngl. i log the bell session and it tells me when ive earned the next step up. before this i was just guessing
Joon-ho Park PE 26
The app Seoul, South Korea 🇰🇷
- ★★★★★
my mum found mihail tbh. four months of coaching and the difference between the photos is obvious. never had to sit in front of a surgeon
Tomás Ferreira PE 17
1-on-1 Coaching Porto, Portugal 🇵🇹
- ★★★★★
gaining weight was the bit nobody would explain to me. 3 months on the nutrition plan, 5kg up, and the same chest reads completely different at that weight
Felix PE 28
Pectus Nutrition Program Graz, Austria 🇦🇹
- ★★★★★
It works. the suction takes getting used to and i gave myself a bit of skin bruising the first fortnight, until i dropped the pressure back to what the guide actually says. my fault not theirs
Marc-Antoine PE 33
Vacuum Bell Quebec, Canada 🇨🇦
- ★★★★★
honest review. 5 months of consistent bell use and my depth has barely moved. im 35 and my chest wall is stiff, which the guide does warn about upfront. the posture and breathing side genuinely helped and i dont regret the money, but i wouldnt tell someone my age to expect what the teenagers are getting
Nikolai PE 35
Vacuum Bell Guide Sofia, Bulgaria 🇧🇬
- ★★★★★
dip and flare at the same time. THE FLARE WENT FIRST, which nobody warned me would happen, and that alone changed my whole silhouette
Bruno Salgado PE + Rib Flare 30
1-on-1 Coaching São Paulo, Brazil 🇧🇷
- ★★★★★
brace did its job on the flare. what i actually wanted was how to run it alongside the vacuum bell work in the same week. asked and got a proper answer same day, but that should be in the material, not something you have to know to ask for
Otto PE + Rib Flare 25
Rib Flare Brace Tampere, Finland 🇫🇮
- ★★★★★
Everyone i asked just told me to do more core. turns out i was breathing into my neck this whole time. learning to actually use my diaphragm was the entire fix
Georgia Rib Flare 24
Rib Flare Course Perth, Australia 🇦🇺
- ★★★★★
started out flat on my back every night checking whether my ribs still stuck up, they always did. got the rib flare program and actually did the breathing side properly this time instead of just the exercises. four months later i lie down and theyre flat - i still check out of habit and still cant quite believe it
Hanna Rib Flare 22
Rib Flare Program Malmö, Sweden 🇸🇪
- ★★★★★
the fortnightly check-ins are the only reason im still doing this. left on my own id have quit around week 3, easy
Katarina Rib Flare 31
1-on-1 Coaching Split, Croatia 🇭🇷
- ★★★★★
obsessed with watching that number drop every month ngl. 10/10
marta_v Rib Flare 25
The app Valencia, Spain 🇪🇸
- ★★★★★
clear, cited, actually practical. heavy going in the anatomy chapters if you have no background, but id rather be given too much than too little
Aisha M. Rib Flare 27
Rib Flare Brace Guide Dubai, UAE 🇦🇪
- ★★★★★
material's good and i have no issue with the science. my honest gripe is the early modules cover the same ground as the free blog posts, which id already read before buying. the later phases are where the real value sits. wouldve paid the same to skip straight to those
Stefan Nagy Rib Flare 34
Rib Flare Course Budapest, Hungary 🇭🇺
- logged case
I am 52 and carried both a ridge and a dip my whole life. Dropped 9 kg in five months and my chest finally reads as one shape instead of two.
Greg Henderson PC + PE 52
Ohio, USA 🇺🇸
- logged case
Three months, 5 kg on, and the ridge sits lower than it ever has. At 19 I thought surgery was the only thing that would fix it.
Ethan PC 19
North Carolina, USA 🇺🇸
- logged case
Nine kilos in six months. Building the muscle around the ridge did more for how it looks than the years I spent hiding it under loose shirts.
Omar Al Mansoori PC 24
Abu Dhabi, UAE 🇦🇪
- logged case
Four months of coaching and the ridge you could see from the side has flattened out. I stopped checking my profile in every window I walk past.
Beau PC 30
Missouri, USA 🇺🇸
- logged case
My carinatum was the first thing I saw in every photo of myself. Now I have to point it out to people. Same chest, trained differently.
Taras Bondarenko PC 29
Czech Republic 🇨🇿
- logged case
Two months in and I've put on 3.2 kg of muscle. My chest doesn't cave the way it used to when I'm standing relaxed, and that alone was worth it.
Milo PE 25
Germany 🇩🇪
- logged case
Nine months, 5.7 kg of muscle on, and 0.9 cm off the depth of my chest. I am 32. I had been told the window for fixing this closed at 18.
Liam PE + Rib Flare 32
Seattle, WA 🇺🇸
- logged case
I came in skinny with a deep dip and ribs that flared out. Six months later I am 4.5 kg heavier, and the flare is the part people notice is gone.
Ian PE + Rib Flare 22
Canada 🇨🇦
- logged case
The brace handled the flare, the training filled out the chest. 6 kg on and 0.9 cm less depth in seven months. I wear fitted shirts now.
Alejandro Sanz Torres PE + Rib Flare 29
Bilbao, Spain 🇪🇸
- logged case
Five months, 4 kg up. The dip is still there if I go looking for it, but nobody else finds it anymore.
Lars PE + Rib Flare 25
Sweden 🇸🇪
"Mihail doesnt sugarcoat anything. told me exactly what to expect and exactly how long it would take. 12 months in and my carinatum is flat. i finally take my shirt off at the beach"
"The carinatum brace is really well made. fits perfect to my chest and i can wear it under a t-shirt at work. results started showing around 4 months"
"My son is 15 and was getting self-conscious at the pool. The carinatum brace and the fortnightly check-ins are what kept him consistent. Six months and the ridge has visibly dropped."
"I came across your blog about a year ago and I just want to say how much you've changed my life for the better. I thought it was going to be another average article, but the tips you gave were things I hadn't heard of before. Now I've improved so much and im more confident then ever."
"Had rib flare since i was a teen. the brace plus the breathing drills changed everything. my waist looks normal in a fitted shirt for the first time in my adult life"
"spent two years researching surgery before i found this. six months in and i wish id found it sooner. the progress photos dont lie"
"the breathing protocol alone changed how i feel day to day. didnt realise how shallow i was breathing until i fixed it. the rib flare correction kind of followed on its own"
"Was skeptical, id tried everything before. the custom vacuum bell was different to anything id used. three months of consistent use and i can already see the sternum coming up"
"direct, no nonsense. mihail knows this condition better than any doctor ive seen. my GP was shocked when i showed him my 9 month comparison photos"
"the course structure is exactly what i needed. not overwhelming, not vague. each module builds on the last and you always know what to do next"
"been watching mihails youtube since 2017. finally bought the program in 2023 and kicked myself for waiting. shouldve trusted him years earlier"
"what sold me is that every claim links to a study. only place online that treats pectus like an actual training problem instead of selling a miracle"
Mihail doesnt sugarcoat anything. told me exactly what to expect and exactly how long it would take. 12 months in and my carinatum is flat. i finally take my shirt off at the beach
Shared with each client's permission.
Did I help you with your pectus?
Share your before & after
Drag each slider to compare. Published only with the client's written consent.
Medically reviewed by Prof. Dr. Mustafa Yüksel
Tap any message to read it full size. Instagram, Facebook, YouTube & TikTok comments, DMs, WhatsApp and email - real messages from real clients. Names and handles blurred, content untouched.
“I am 52 and carried both a ridge and a dip my whole life. Dropped 9 kg in five months and my chest finally reads as one shape instead of two.”
“Three months, 5 kg on, and the ridge sits lower than it ever has. At 19 I thought surgery was the only thing that would fix it.”
“Nine kilos in six months. Building the muscle around the ridge did more for how it looks than the years I spent hiding it under loose shirts.”
“Four months of coaching and the ridge you could see from the side has flattened out. I stopped checking my profile in every window I walk past.”
“My carinatum was the first thing I saw in every photo of myself. Now I have to point it out to people. Same chest, trained differently.”
“Two months in and I've put on 3.2 kg of muscle. My chest doesn't cave the way it used to when I'm standing relaxed, and that alone was worth it.”
“Nine months, 5.7 kg of muscle on, and 0.9 cm off the depth of my chest. I am 32. I had been told the window for fixing this closed at 18.”
“I came in skinny with a deep dip and ribs that flared out. Six months later I am 4.5 kg heavier, and the flare is the part people notice is gone.”
“The brace handled the flare, the training filled out the chest. 6 kg on and 0.9 cm less depth in seven months. I wear fitted shirts now.”
“Five months, 4 kg up. The dip is still there if I go looking for it, but nobody else finds it anymore.”
What people ask
before they begin.
The four that come up most, answered the same way I would answer them on a call.
Take the 60-second quizHow long before I see a change? +
Posture and breathing shift first - most people feel that inside the first few weeks. Visible chest change is slower. In the case log above, Milo saw his first real change at 2 months, Ian at 6, Liam at 9. The programs run 16 weeks because that is roughly how long it takes for the training to show up in the mirror.
Am I too old for this to work? +
Almost certainly not. The clients documented on this page were 22 to 32 when they started. Cartilage does stiffen with age, so progress is slower the older you are - but slower is not the same as stopped. What changes is the timeline, not whether it is worth doing.
Do I need a gym, or can I do this at home? +
Either works. Every program ships with a gym track and a no-equipment track for the same 16 weeks, so you pick the one that matches what you actually have access to. You can switch between them mid-program without losing your place.
Pectus excavatum, carinatum, rib flare - is it the same plan? +
No, and that matters. A sunken chest and a protruding chest need close to opposite work, and rib flare often rides along with both. There is a separate program for each. If you are not sure which one you have, the 60-second quiz sorts it out and points you at the right starting place.
Understand it,
then train it.
Read the understanding and science once, set your priorities with the pyramid, then live in the 16-week program.
Start the systemPC + rib flare anatomy, and an honest account of what training can and cannot do, so the plan makes sense.
Wolff's law and why bracing works, how muscle builds balance, why ribcage position comes first, and posture.
What to prioritise, in order: brace compliance, ribcage position and breathing, core, back, then balanced chest work.
Self-assessment, the Foundation, and the 3-phase program with gym and no-equipment tracks, plus breathing and posture.
The whole system,
understand to train.
The full contents,
nothing held back.
- Start
- Part 1Understand 01–03
- 01 PC + rib flare, why they travel together
- 02 Anatomy: the sternum & the lower ribs
- 03 What training can and cannot do
- Part 2The science 04–07
- 04 Wolff's law & why bracing works
- 05 How muscle grows & builds balance
- 06 Why ribcage position comes first
- 07 Posture & the stretched position
- Part 3The framework 08
- 08 The PC + Flare Priority Pyramid
- Part 4Do it 09–12
- 09 Self-assessment
- 10 The Foundation + brace-aware plan
- 11 The 16-week program
- 12 Breathing & posture
- Part 5Reference 13–16
- 13 Exercise library
- 14 FAQ
- 15 References
- 16 Photo shot list
- Finish
15 sections, a 3-phase / 16-week program with gym and no-equipment tracks, the Priority Pyramid, and a full self-assessment.
I'm not writing this as a doctor looking at a scan. I had the sunken chest, the flared ribs, the shirt that stayed on at the pool, and nobody could tell me what actually works.
Everything on this page exists because I needed it to exist ten years ago.
I had it. I fixed it.
Now I help you do the same.
I'm Mihail Veleski. Pale, skinny, sunken chest, flared ribs, I had it all, and it wrecked my confidence. Years of consistent, non-surgical training made my deformity unnoticeable.
I founded Mr. Pectus to give people the exact path I had to find the hard way, tested on my own body first, then refined every time someone hit a wall I had not planned for.
Featured in Healthline · Level 5 DUKE Institute Certified Personal Trainer (ISSA) · Specialised in pectus excavatum, carinatum and rib flare.
Medically reviewed
Every clinical claim on mrpectus is reviewed by Prof. Dr. Mustafa Yüksel, MD
Thoracic surgeon, founder of the Chest Wall International Group
Train the whole picture,
or guess and plateau.
You can keep grinding generic chest workouts that miss the flare and the posture, or follow one cited plan built for exactly this combination.
Let's be honest about
who this is for.
This program never replaces a medical assessment. Carinatum is occasionally linked to connective-tissue or cardiac conditions, so get assessed before starting and before bracing.
No surprises between
you and starting.
No waiting on a reply, no onboarding call, nothing to install.
Train both levers,
the right way.
The complete PC + rib flare system, yours for life, for less than a single session with a specialist. One payment, instant access, every claim cited.
Try the whole thing for 30 days. Use it, and if it isn't what was described, message me for a full refund, no questions asked. The risk stays with me, not you.
Common questions.
Can exercise flatten my carinatum? +
No - muscle can't push the sternum back in. The proven lever for the protrusion is compression bracing on a flexible chest. Training balances the frame, fixes the flare, and improves posture so the protrusion is less prominent, and it makes bracing more effective.
Do I have carinatum + rib flare, or just one? +
The self-assessment section walks you through it. If the middle of your chest pushes out AND your bottom ribs flare, this combined program is the right one. If it's only the protrusion, use the Pectus Carinatum Program; if it's only the flare, use the Rib Flare Program.
How important is brace compliance? +
It's the single biggest predictor of correction - hours worn matters more than anything else. Even lower-intensity plans work when worn consistently, which is why the training is built to be brace-aware, not to compete with it.
Will big pecs help or hurt? +
Excess chest mass on a protruding sternum can make it pop more. This program leads with back and posture and trains the chest for tone - a balanced, athletic frame is the goal, not a bigger bulge.
I'm an adult - is bracing still worth it? +
Flexibility and age predict bracing success, so younger, flexible chests respond best. Adults should get a provider assessment; the posture, flare and breathing work in this program help at any age, with or without a brace.
Do I need a gym? +
No. The No-Equipment track uses bodyweight and a band, which is plenty for the back-led, posture-first approach. The gym track is there if you have access to weights.
Should I see a doctor first? +
Yes. Carinatum is occasionally linked to connective-tissue or cardiac conditions, so get assessed before starting and before bracing. The program is education and never overrides your provider.
How do I get access after checkout? +
Instantly. Checkout takes a minute and the link to everything lands in your inbox right after - read it on your phone, tablet or laptop. Lifetime access, free updates, nothing to ship.
What if it is not for me? +
You're covered by a 30-day, no-questions-asked, 100% money-back guarantee. If it isn't what was described, email me for a full refund.
Three honest ways forward.
Take the free 1-minute assessment and get a straight answer for your condition and severity.
Take the assessment →The chat bubble in the corner reaches me directly, ask anything about your case before you decide.
Try the whole thing. If it isn't right for your chest, every dollar comes back.
Start risk-free →Ridge and flare.
Trained together.
The complete, cited PC + rib flare system: flatten the profile with a balanced, back-led frame, bring the flare down, and make bracing work harder for you. One payment, lifetime access.
Start the system
P.S. If you've read this far, part of you has already decided. The only thing you can lose by trying is the version of next year where nothing changed. - Mihail
