I've had multiple expander implants, saline implants, and gel implants and the gel are by far the most comfortable implants to live with from a physical and wearability standpoint. Expanders are just plain old uncomfortable. To me the saline feel heavier, they are harder, and they don't look good a lot of the time. The gel feel lighter to me, are softer and more comfortable feeling in my chest, and they tend to look better both dressed and undressed.
5 days ago
Both saline and silicone implants are considered safe options after mastectomy — neither is definitively "healthier" than the other. The best choice really depends on your body, your goals, and your personal priorities.
Here's a quick comparison to help think it through:
Silicone Implants
- Look and feel more like natural Show Full Answer
Both saline and silicone implants are considered safe options after mastectomy — neither is definitively "healthier" than the other. The best choice really depends on your body, your goals, and your personal priorities.
Here's a quick comparison to help think it through:
Silicone Implants
- Look and feel more like natural breast tissue
- A rupture can be "silent" — meaning you may not notice it right away
- Require an MRI or ultrasound 5–6 years after surgery, then every 2–3 years to check for leaks
- Studies show a silicone rupture does not cause serious health problems
Saline Implants
- Feel firmer than silicone
- A rupture is immediately obvious — the breast visibly deflates within hours or days
- No extra imaging needed after placement
- The saltwater is safely absorbed by the body if a rupture occurs One MyBCTeam member chose saline specifically because a rupture would be immediately noticeable, which gave them peace of mind. Others love silicone for its natural look and feel.
Both implant types carry about a 1% chance of rupturing per year. The most important thing is having an open conversation with your surgeon about why they're recommending silicone — there may be specific reasons related to your body or treatment plan that make it the better fit for you.
6 days ago
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