Q: Dr. Eppley, I was wondering if you could answer a few questions I have on muscle implants. Are there any pros/cons to cohesive gel male pectoral implants (and bicep implants) for example those made by Polythec, over traditional soft solid silicone in terms of aesthetics, feel or safety. Do you offer both types?
Do you recommend square or oval pectoral implants usually?
If I got multiple muscle implants (pec, delotid, bi/triceps), is there an order that would leave one less disproportionate in between surgeries for a thin 20s male. Thanks for your time.
A: When it comes to pectoral implants, the vast majority of men are better served aesthetically with rectangular style or shaped implants. Most body implants, perhaps with the exception of pectoral implants, are best done with the softest durometer but solid silicone gel material. While they are equally safe and effective, the softest durometer of a silicone material allows for easier insertion through smaller incisions. In addition, body implants are attempting replicate muscle tissue and thus should have a similar feel to them.
Polythec is a German Manufacturer of breast and body implants. I can not speak for their silicone material as I have never used them nor are they allowed to sell in the U.S..
When doing multiple body implant surgeries, one can always have them all placed at the same time if one has adequate recovery both psychologically and the time to do so., But when staging them the practical approach is to do them based on intraoperative positioning. In the supine position, pectoral and biceps implants are placed. In the prone position, triceps, deltoids and trapezius implants are placed. This that is how they would be staged.
Dr. Barry Eppley