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This is my personal opinion for what it is worth. I have not had cancer nor reconstruction, these are only my thoughts on the subject.
Personally, I would go for the saline. I know the silicone supposedly look and feel more natural than the saline but my worry lies in the fact that silicone is not a "natural" product wherein saline is. If for some reason an implant were to rupture or leak I would much rather have saline implants which can be reabsorbed into the body.
The silicone had been off the market because it can't be determined if silicone is or is not harmful to the body and what the body's response is to it. For a time, only implants for reconstruction were allowed to be silicone and I never quite understood why.
Good luck with your decision. I hope someone who has had reconstruction is able to give you better advice based upon their experience.


This is the first time I've seen your blog. I was struck by your situation. I had a bilateral mastectomy with reconstruction in Oct of 2008. I ended up with silicon implants and have been very happy with them. I so related to your comments about ALL the decisions that have to be made!!!! It is overwhelming. I'm happy to say that I am on the other side now and consider myself a survivor. Whatever you decide will be fine with regard to silicon or saline. Either one will be good. I know there are pros and cons to each, but I want to encourage you that you will be fine with either one. The good news is that you are as far along as you are. Before you know it, you will be a couple of years down the road and passing on encouragement to other women. Just as an aside--the best part of all of this (besides being free of cancer) is that I no longer have to wear a bra. I never thought I'd ever consider that or even say that, but it is so much more comfortable to just wear a cotton undershirt or a camisole. There is really no need for a bra now and I only wear one on rare occasions when it is better with whatever my outer garment is. Congratulations on making it this far and best wishes for the next part of the journey! If you would like to communicate any further, please feel free to contact me. You will be in my prayers. God bless you!

Jacinto Hukle

From a masculine point of view, I would choose the saline implant over silicone. Although they are both generally safe and silicone looks and feels more natural, saline implants will make you aware if it has encountered a problem, as it will only deflate once it ruptures. Don't worry if that happens because the leaked solution can be absorbed by the body risk-free. I hope you have already decided on your reconstruction.

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