Pectoral Implant Revision
Q: Dr. Eppley, In regards to my pectoral implant revision, I googled PowerFlex 1pectoral implants and it took me to the Implantech web site. I took a look at all their pectoral implant styles. The shape is what I am looking for although the projection is 3.9 cm. It is tempting although I think this would be too large. I noticed on the Implantech site there is a PowerFlex Pec Implant (Novack style 2) that may work for me. It states that this implant is “coming soon”. The shape looks excellent although I am not sure if this would be large enough. The dimensions are 15.2 x 12.4 x 2.2 cm and the volume is 345 cc’s. Do you think this would fit well for me? Not sure what my chest dimensions came to that you took on my last visit. The pectoral implants I have now are 2.8 cm in projection although I would not mind going a little smaller to the 2.2 cm. This time I think the definition and shape are more important than the volume. Also, on the Implantech site they show the original Novack implant that is 15.3 x 12.6 x 2.3 cm and the volume is 300 cc’s. This is a little confusing since the Novack original which is a little larger then Novack style 2 implant although the volume is 300 cc’s (original) and 345 cc’s (style 2). Can you double check the dimensions for the PowerFlex Pec Implant (Novack style 2) with Implantech?
A: In looking over all the pectoral implants from various manufactures I think the conclusion is the right shaped one is a little too big and those with the right volume don’t quite have the right shape.
The ones you have in now are too big in terms of surface area coverage and could also stand some more projection particularly in the inner and upper poles of the implant.
Given that you have a reasonable acceptable result, albeit with its own issues, the only reason to have pectoral implant replacement surgery is to make a really substantial improvement. To do so it would be best to get the best shape, projection and volume of the implant based on the measurements and numbers that we know would be better….aka just make custom implants for your pectoral implant revision..
Dr. Barry Eppley