Implants come in many shapes and sizes

Sandra,

Breast implants come in many shapes and sizes. For a given implant volume, the projection can be normal, moderate or high. It all depends on the shape of the shell and design of the implant. So, you need to look at more than just cc when deciding on an implant.

The considerations you need to include are your breast base diameter, remaining tissue & desired final size. If you have already had the mastectomy, then you may also need an breast expander placed first to help stretch the skin to the desired size. After several months, this can be replaced with the final implant. During the expansion process you can get an idea of what volume you like, since they will be expanding your implant on a weekly or biweekly basis. I hope this is helpful and good luck with your reconstruction.

After a mastectomy,  the chest wil require larger implants than normally used in primary breast augmentation. The back size( 36 or 38) will stay the same. The best way to figure out what works best for you is to see how they look when filling up the tissue expanders.  When the volume you like is reached, let the doctor know and then he/she can size up the implants after the pockets are overstretched.

Steven Wallach, MD

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