This week, James E. Craigie, MD, of The Center for Natural Breast Reconstruction answers your question.Question: Have there been any improvements in the shape of silicone implants in the last 13 years? I had my reconstruction done then and have never been able to find a bra that fits. They are too round with no 'apex', or point to fill in the front of my bra.Answer: Thank you for your question. Yes there have been improvements made regarding breast implants over the last decade. The silicone inside is more “cohesive” which in general means the implants hold their shape better and are probably less likely to leak over time. Also the implant companies are frequently coming up with different options or sizes for patients. If you are not satisfied with the results of your breast reconstruction I recommend you follow-up with your surgeon to discuss what bothers you and if any of the newer implants would help. If it is not possible for you to see the surgeon who performed your surgery let me know and with more information I could give you my opinion.Thanks again.

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