Up to now, larger framed, bustier American women have not had good implant options, because the U.S. has not allowed the sale of larger implants, as Europe does. This study hopefully will answer some outstanding questions about whether these larger implants are effective. This is a very unaddressed issue in breast reconstruction and one we explore in our upcoming book, “Breast Cancer Surgery and Reconstruction: What is Right for You,” to be published June 16 by Rowman and Littlefield.