Can I Get XXL Pectoral Implants with Nipple Piercing Repairs During The Same Surgery?

Q: Dr. Eppley, I had a right pectoralis major tendon tear in last year. 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 if the xxl (largest possible) pectoral implants and 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 you 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 that actual implant size is. But what is most relevant is whether the XXL implant is the largest standard (Powerflex Plus, 690ccs)  or whether a custom implant must be made. I think you would probably be fine with the off-the-shelf PowerFlex Plus implant. With your height, chest size and thick strong tight pectoral muscles that would be the most implant you could probably get in. It is the ‘big daddy’ of standard pectoral implants made for the male seeking XL or XL size.

While 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)

Dr. Barry Eppley

World-Renowned Plastic Surgeon