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Saline or Silicone Breast implant after Mastectomy?

If I increased from a size Full B/Small C to a Full D (this is following a Mastectomy for ductal carcenoma) and the doctor plans to use Alloderm or Neoform, would a Saline or Silicone Breast implant be best? I'm so confused about this issue and the time is almost here. Thank you.

5 answers to “Saline or Silicone Breast implant...”

A: Breast reconstruction-implant type

Sam Speron, MD

Hi, Thank you for your question. It is difficult to say which implant is best for your situation without being able to examine you. As already stated, silicone feels more natural than saline which is especially nice when replacing an entire breast or not having much tissue to work with. Flaps are often an... more

A: Implant selection post-mastectomy

Steven Wallach, MD

The choice of implant after mastectomy is entirely up to you and your doctor. You should have a thorough exam and discussion about your recontructive options.  Saline or silicone implants are dependent upon your desires.

A: Please discuss this with your surgeon

Kamran Khoobehi, MD

 You a question that only can be answered after full evaluation and breast examination. There are many option for breast reconstruction. These include implant reconstruction and autologous reconstruction.  For the implant reconstruction silicone gel implant work better since there is minimal tissue... more

A: What type of implant is best for reconstruction?

Richard Baxter, MD

The usual rule is that silicone feels more natural, both in reconstruction and augmentation. However, there may be circumstances unique to your situation. For example, if you surgeon believes that a shaped rather than round implant is preferable, those are only available in saline until the FDA releases the... more

A: Breast reconstruction

Robin T.W. Yuan, MD

You should fully discuss this with your plastic surgeon who should be able to sort out all the variables. There is no one right answer which is why you are probably confused. The reconstruction should be intimately planned with the mastectomy and often the reconstructive goals may influence the type of... more

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