This calculator provides an educational planning estimate only. It does not replace clinical assessment, physical sizing with sizers, or board-certified plastic surgeon consultation. Final implant selection must account for intraoperative findings, patient-specific anatomy, and shared decision-making. Always use manufacturer sizing guides alongside tissue-based planning methods.

This protocol is based on published evidence including a 2024 meta-analysis reaffirming silicone as first-line treatment, ASPS guidelines, and clinical consensus from board-certified plastic surgeons. Silicone gel shows 35-40% Vancouver Scar Scale improvement over 12 weeks vs 15-20% for onion extract and minimal benefit from vitamin E. Recommendations are for staff guidance only and must be reviewed and approved by the supervising surgeon before patient communication. All scar care should begin only after surgeon confirmation that incisions are fully closed.