I have performed pectoral implantation for 6 years, approximately 1-2 per month. I use various shapes of soft-solid (ie non-gel) silicone implants and each model comes in various sizes. I choose the implants based on the patient's anatomy and his desired 'look': subtle look, swimmer's look, bulky body-builder look, etc. Incisions are in the underarm hair-bearing area, the implants are placed under the original pectoral muscles and the procedure is performed in a fully-accredited surgi-center, with board-certified anesthesiologists. Cost is 9500$ + taxes for most implants (pre-formed) and this is all inclusive. Custom-made ones (which require molding and fabrication) are 14000$ + taxes for the 2. Custom-made implants are rarely needed but might be a consideration for some cases of pectus excavatum and for patients with Poland's syndrome. Hope this helps! Dr. Marc DuPere, Board-certified Plastic Surgeon, Toronto, Canada 416.929.9800 visageclinic.com dupere@visageclinic.com