What is the average saline fill for a chest expander? I had bilateral total mastectomy for breast cancer. I was a b cup prior.

Deciding between round and shaped implants - depends on the look that you are going for.  Teardrop implants may have a more natural look, round implants have the simplicity of being all round so you don't have to worry about them moving / spinning. 

Correcting rippling is tricky.  You seem to have a great result and any further surgery will always carry a risk of complications.  You can potentially worsen a good result in pursuit of a better result.  So the question is, does this bother you enough for you to take that chance?...

Are you able to provide pictures?in some patients, because the upper chest skin /muscle is softer, most of the expansion take place there.  This is especially common in patients who had radiation and get a tissue expander.

There is no medical issue with a deflated tissue expander.  Aside from feeling the port that may annoy you, there is no downside to having a deflated tissue expander.

One of the benefits of having expanders in place is the flexibility they provide. Patients are encouraged to actively participate in the filling process and decisions that need to be made. There are some benchmarks which can be used as guidelines including the capacity of the expander, the...

Sounds like this has been going on for a very long time.  When aspirations and injections do not work, perhaps it's time to consider surgery to excise the seroma cavity (the linining of the cavity) and possibly use a VAC system to help with the closure and healing.