Safest Size Implant to Avoid Sagging Post Mastectomy?

I'm getting a prophylactic mastectomy and I was wondering what size implant(maximum number of cc's)you'd recommend for reducing the risk of potential problems and especially future sagging.

Doctor Answers 4

Breast reconstruction

There really is not a size to prevent sagging after mastectomy. The muscle pocket will usually prevent significant sagging and it is important to pick the best size implant for you frame

New York Plastic Surgeon
4.1 out of 5 stars 12 reviews

How to pick implant size for reconstruction after mastectomy

While it is true that too large an implant will be prone to sagging and related problems, the answer to what the largest size is will depend on the patient. Most important is the base diameter of the breast, which your plastic surgeon will measure. It is often a good idea to use Alloderm for an internal bra to add additional implant support.

Richard Baxter, MD
Seattle Plastic Surgeon
4.9 out of 5 stars 53 reviews

Sagging breast implants after mastectomy

Thank you for your question.  The answer to your question depends on how much healthy tissue you have left after the mastectomy and the base diameter of your implant.  If you opt for a tissue expander prior to implant, the size is adjustable and can be dialed in to a size that you like. Acellular dermis may add an extra layer of support.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 183 reviews

Drooping after mastectomy

In general, a plastic surgeon may ask you what size you would ultimately like after mastectomy, but an experienced and safe surgeon will only place the "safest" size implant that will accomodate the mastectomy defect.  The larger the implant you place in that pocket, the more chance for complications and wound healing problems, since any significant pressure (either from within or externally) will affect the blood flow to the skin flaps.  Skin flap circulation is decreased from any total mastectomy procedure, so it would be prudent not to compromise the circulation in any way.  Finally, future sagging will depend more on the quality of the breast skin as well as the internal support to the implant, rather than the size of the implant.

Tito Vasquez, MD, FACS
Southport Plastic Surgeon
4.7 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.