saline versus silicon?

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fallen22
fallen22 Member Posts: 18
edited July 2014 in Breast Reconstruction

Hello all, lurker here. Found my lump on June 5th, was cancerous with no family history. Went for MRI and they found suspicious tissue on the other one. I have 3 and a 5 year old so I am done with kids... So am going through with a bilateral mastectomy. My surgery date is Monday with reconstruction at the same time. 

I am really torn between silicon versus saline implants. I am staying the same size.. So A cup. 

Pros for saline, less scar tissue, body will absorb leak, replacement surgery will take less time, no MRIs

Pros for silicon, more natural looking, no ripples, feels and look better.

Decided on saline but plastic surgeon called and discussed silicon again BC of my age, I'm 32.

Any inputs from people who huave either? Thank u

Comments

  • Blessings2011
    Blessings2011 Member Posts: 4,276
    edited July 2014

    Hi, fallenmirage - so sorry about your dx, but glad you found this forum.

    I'm kind of in the minority here. I have saline implants, only because that's all my PS offers. They are 700ccs, which sounds large, but they are soft, squishy, and look really perky compared to the Original Girls. Women needing very large implants usually choose saline as they can be filled larger than available silicone implants.

    The nice thing about saline is that the incision is very small when they are placed. They are inserted deflated, and the PS injects them with saline to the exact size he or she wants so that both sides match. It's not a matter of choosing a larger or smaller implant.

    Not sure what you mean about less scar tissue, as that's always a possibility after any breast surgery. Yes, if there is a leak, it is sterile saline that your body will absorb very quickly. And no, you do not need an MRI to check for leaks... if one has a leak, you'll find out pretty fast!

    Not sure the Exchange surgery will take less time... just depends on how your PS rolls in the OR.

    I can't tell you if the silicone implant feels more natural, but I can tell you that DH says mine feel real, so he's a happy camper.

    You mentioned "no ripples" as a benefit of silicone, but truthfully, ripples can happen in any implant. I actually have no ripples, but have seen many pics of women with silicone implants with significant rippling. 

    Getting the proper size from the get-go (TEs) will go a long way to preventing this. It also depends on the thickness of your skin. Thin skin tends to show more rippling, and certain styles of silicone implants tend to ripple more.

    The other thing I like about my salines is that they are always warm. I've heard ladies with silicone say they are cold.

    HOWEVER - for everything I like about saline, I think that the majority of women here have silicone, and are very pleased with them!

    AND - there is a much wider range of manufacturers, models, and styles of silicone implants.

    Hoping more members come along soon with their comments...

    Wishing you the best with your surgery and recovery!

  • Ally2345
    Ally2345 Member Posts: 320
    edited July 2014

    fallenmirage-  Another decision to make...sometimes it seems like there is a never-ending list of them!  Anyway, I talked to people and held the different implants and my gut pushed me toward silicon.  I felt like I would get a better result for my body.  Also, the few ladies I talked to had silicon implants, only one had saline and she was luke-warm about her implants.  This info is probably not very helpful.  However, this Board is really helpful and you will find people with both, some women that have actually had both and they can share their views.  Best of luck with your upcoming surgeries...remember we are here for you!!

    Ally

  • fallen22
    fallen22 Member Posts: 18
    edited July 2014

    thank you ally and blessing. I keep tethering between both options and hate that I can't make up my mind. I am doing a 1 step reconstruction so no TEs. I love how the PS was like....."hmmm you will be a little bigger BC ur smallest implant is bigger than what you have " hah, thanks, I knew i had small boobs but didn't think they were that small!

  • Ally2345
    Ally2345 Member Posts: 320
    edited July 2014

    Nothing like a great PS to make you see all the "flaws" in our bodies!  LOL!!!  I told my PS I didnt realize my boobs were so droopy and he said, "I see that all the time."  Didn't know whether to be relieved I was like everyone else or whether everyone else was "correcting" their droopy ones and I was late to the game.  HAHA!!

  • Bren58
    Bren58 Member Posts: 1,048
    edited July 2014

    I have had both. Saline for 9 years after BMX, then an exchange to Silicone. Personally I really didn't like the saline, but that's all that was offered back in 2000. I was told that the life expectancy of the salines was about 10-12 years for the ones I had, so rather than wait for an implant failure, I had an exchange to silicone gummies. I like the silicone much better, I think they look and feel better than my saline ones did. The exchange was no big deal even though I had some revisions done to the one pockets. I took a week off from work and the scars healed up very well. In the end only you can make the right decision for you.

  • fallen22
    fallen22 Member Posts: 18
    edited July 2014

    thank you all. I ended up with TE.. So more time to think about it

  • songlady
    songlady Member Posts: 12
    edited July 2014

    I had bmx on June 12, with immediate reconstruction, direct to implants.  Mine are saline, the adjustable type, teardrop shape, and they look great so far, and feel natural.  Was a C cup before the bmx.  Pretty much a fuller C now.  Not as supple as the natural breast, but they're not as hard/firm as a thought they would be.   Hubby is very pleased.  I still have the fill ports in.  They're not noticeable, as they are just below the breasts right in the fold.  I wouldn't know they're there, except I can actually feel them if I trace the area with my finger.  Due to go to PS for another check-up and possibly another fill after 3 months, giving everything time to settle down.  After the next one or two fills, that'll probably do it.   

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