Implant-based breast reconstruction has 3 main options: (1) the two-stage tissue expander followed by a permanent implant, (2) direct-to-implant reconstruction without an expander, and (3) hybrid devices like the Becker expander-implant. The full process takes 4 to 6 months, the surgery itself is 1 to 2 hours per stage, and modern implants (silicone gel or saline) typically last 10 to 20 years before considering replacement. This guide explains each option, who it suits, and