Can I Get Pectoral Implants and Nipple Piercing Repairs At The Same Time?

Q: Dr. Eppley, I had a right pectoralis major tendon tear in September of 2024. My orthopedic surgeon repaired the tendon and I am back to training chest however I have some deformity and am hoping to get xxl pectoral implants. I also have some bilateral nipple deformity from having pierced nipples. I’m wondering how much xxl (largest possible) pectoral implants would cost and if nipple augmentation could be completed at the same time. I like large pointy nipples and I’d like mine to look more uniform. Currently as you can see in the pictures they have scars from the piercing that’s almost looks like a 3rd nipple. I’m hoping the doctor can do pectoral implants and nipple correction while increasing the length and size and symmetry of the nipples as well. Thank you

A: The concept of XXL pectoral implants is open to interpretation as to what thet actual implant size is. But what is most relevant is whether the XXL implant is the largest standard (Powerflex II, 690ccs)  or whether a custom implant must be made. I would need to see some pictures of your chest, know uyor height and weight and see examples of what you see as an XXL chest size.

When numerous forms of nipple plasty can be performed at the time of pectoral implant placements the combination of a pierced nipple repair and nipple elongation can be problematic. (as nipple elongation usually requires placing a graft.)I would have to see pictures of your nipples to have a better idea as to what is possible.

Dr. Barry Eppley

World Renowned Plastic Surgeon