Do I Need Standard Or Custom Pectoral And Testicle Implants?

Q: Dr. Eppley, I am interested in pectoral and testicle implants. Do I need custom implants or will standard implants work for both? How much does a testicle implant weigh? 

A: Thank you for your inquiry and sending your pictures to which I can provide the following information:

PECTORAL IMPLANTS The key in pectoral implant selection is to have an understanding of the patient’s exact chest shape goals. Then the implant is selected by knowing the height and width measurements of the chest and the amount of projection and is location along the implant that the patient wants. This is how one knows whether a standard vs custom pectoral implant can most effectively achieve the desired outcome.

TESTICLE IMPLANTS Many of the testicle implants I do are in patients that seek enhancement of what they already have, not replacement of a missing testicle. Thus by definition these are almost always bigger in size than what standard testicle implants (max size 5.0cms) can achieve. Most custom testicle implants are in the 6.0 to 7.0cm size. (90 to 120cc volumes per each implant) The weight of a solid silicone testicle implant is completely controlled by its size. While size is obviously important the other major decision is the choice of the side by side vs wrap around implant technique. There are advantages and disadvantages with either approach. 

Pectoral and testicle implants can be done during the same surgery.

For now I will initially assume you need standard pectoral and custom testicle implants with the wrap around technique. But this open to further discussion and at the least is a starting point of that discussion.

Dr. Barry Eppley

Indianapolis, Indiana