How Can I Make A Pectoral Implant Fit My Chest Dimensions?

Q: Dr. Eppley, I am about ready to proceed with a consultation for Pec Implants. I was curious about the PowerFlex Plus Pectoral implants. I note that they are 15cmx19cmx3.9cm in a vertically placed position. Looking for the maximum augmentation, I believe this model/size in terms of projection would be ideal. However, I do not think my chest height could accommodate the 19cm height. Could the implant be place horizontally or could it be shaved to fit my dimensions? Thank you so much!!

A: The proper orientation is as shown in the attachment with the vertical height of 15cm and the horizontal orientation of 19cms with the tail towards the axilla. While the implant can be cut to reduce its dimensions I generally try to avoid doing that unless absolutely necessary as have a cut edge of an implant increases the risk of a chronic seroma. (fluid collection) When very specific dimensions of a pectoral implant is needed, this is the role of a custom pectoral implant design.