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Gini - After you have you mastectomy and you're ready for reconstruction, your plastic surgeon will place an expander beneath your muscle that is filled with a little bit of saline.  The outside of the expander is a very thick plastic like material, such as an implant.  The main difference is that there is a valave located on it where each week once you are ready, you're doctor will use this magnetic device to locate the position of a tiny piece of metal where the valve is.  then he will insert a long needle into your muscle and valve and add saline until you feel tight.  The uncomfortableness will last a few days, yet you should get weekly fills.  Depending on what size you want, it should take no more than 3 months from start to finish to swap it out for an implant.  then about 3 months down the road you should be able to discuss having a nipple made. It goes very fast, and it's not too bad.  Just take a tylenol or something before your fills and the pain should be fine. Good luck! Angi