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ChrissieD

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Reply with quote  #1 
Hi -

I went for what may be my last fill on Tuesday, maybe have 1 more next Tuesday and my exchange is scheduled for June 26.  Woohoo!!

So now the decision of saline vs. silicone.  My PS (and the others I consulted) said they would recommend silicone - better cosmetic outcome, feel nicer, etc. etc.  I have spoken with a lot of women who have silicone implants and really really like them and are happy with the results.  Thought my mind was made up until I read the booklet from Mentor.

Anyone out there have saline implants that they are happy with?  I am not sure I am comfortable with silicone.  I have read and read all that is out there but still am concerned with a few of the studies.  I think I can live with the rippling of the saline implants but would like some reassurance from folks who have them.  Anyone?

Thanks for any feedback. 
MicheleS

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Reply with quote  #2 
I'm interested in this thread.  I'm a loooog way off from this, I won't even get expanders 'till fall...
But, I feel like I'm going to be soooo concerned about what is in and on my body after this (all organic food, organic lotions, no anti-perspirants) that the idea of silicone is counter-intuitive to me.  However, I hear that the new ones are much less likely to leak than the old ones.. so, I dunno.

So, saline-foobar ladies! Please post!!
Michele

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Reply with quote  #3 
I have cohesive gel silicone... if you cut it in half it doesn't leak it is like a soft gummy bear candy. So there is no risk associated with any silicon leaks.

I did not want saline because of that "water balloon" feeling and rippling.
The cohesive gels hold their shape.

I am anxiously awaiting the next generation of these that are stacked so they look almost exactly like a real breast.

Does your doc have samples in the office? When you feel them side by side you will feel the difference!


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ChrissieD

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Reply with quote  #4 
Thanks for the feedback Gina.  My doc is recommending the cohesive silicone implants.  He is not part of the gummi bear trial so I did not see those.  I really like the feel of the ones he showed me. I would be getting 1 of 2 but said he would decide in the operating room - put one in sit me up and see how it looks.  I really try not to think about the things that go on when knocked out :-)!

My concern is not the leaking it is the studies that suggest some correlation with silicone implants and other cancers even when the implants don't leak.  There are still studies going on and I feel like I could live with the rippling of the saline implants and may not be able to feel good about silicone because I will wonder.  While they also don't feel as good as the silicone ones I am not going big (full B) so I think I would be able to live with that too??

I really feel like after everything this is the most difficult decision I have had to make.  This is causing me much turmoil than opting for a bi-lateral mastectomy (which was completely my choice!) 

Michele, it is a great feeling to be nearing the end of all this.  You will feel so good when you have the expanders placed to know you are almost there!

Have a great day ladies!!

nosurrender

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Reply with quote  #5 
Chrissie, you can get rippling with silicone too- but just not as bad.
You can always start with the Saline and if you don't like them switch.
I have had implants switched out and it is not a big deal.
If it is something that makes you more comfortable, then go for it!

I know- all these decisions- who knew a year ago you would have to even KNOW these things!




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coco

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Reply with quote  #6 
A friend of mine is in the rather unique position of having one of each; one saline and one silicone (it's a long story). She prefers the silicone because it is much lighter than the saline and therefore, much more comfortable for her. She is not a small-breasted woman, and while she had her surgery 7-8 years ago, she is hoping to eventually swap out the saline implant for another silicone. So weight and comfort might be another thing to consider.

I'm not very familiar with the "stacked" implant you've mentioned before, G. I'll have to look into that. (I get mine in July. )

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ps123

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Reply with quote  #7 
I had a single mast. and have a saline implant and have been happy with it.  I know everyone says the silicone ones are safe now but I just felt like I didn't need another thing to worry about so went with the saline and have no complaints.  I  have never seen or felt a silicone implant though so don't have anything to compare mine to. 

Good luck making your decision!

Pat
ChrissieD

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Reply with quote  #8 
Thanks for your reply Pat.  I think I am going to go with the saline for just the reason you mention...I don't want to worry about it.  As Gina said I could get rippling with the silicone and I can always get silicone when they are in need of exchanging.  Can't wait for June 26th!! 
nosurrender

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Reply with quote  #9 
I actually have an implant update....
my cellulits came back again and I am about at the end of my rope.
My PS and I talked about moving to the next level.... a flap of some sort.
Apparently, I am having so many problems because my skin was radiated on both sides. The side from 7 years ago was terribly burned, so much so I had to have part of it removed surgically. And the newer side got zapped pretty good because I had the extra-nodal involvement.
I never understood why he always used that as an excuse for my infections - until today.

The radiated skin is sitting on the silicone, nothing else.
If he did a flap- he was talking about a Lat Flap - he would remove the latimiss dorsi muscle from my back, tunnel it under my arm and put it on the chest. This is healthy, new tissue with its own blood supply. NOW the radiated skin would be on  that tissue instead of the implant and be able to get a fresh blood supply.

The benefits of this procedure are: No rippling, fresh blood supply, softer breasts and a more natural look. I would still need an implant underneath to fill me out.

The DOWNSIDE is - he removes my entire muscle. I get two big scars on my back. AND this is the one that really bothers me, I lose strength in my shoulders and arms.... I am a swimmer, I garden I am very upper body mobile, I don't want to be limited by something else, you know?

The other choice is a GAP which is from the butt. But he only does the upper butt- I want the IGAP which is the lower butt - Where I have Plenty-o-tissue to spare! So I am at a crossroads again and also on the damn antibiotics again that make me so dizzy it is sick.


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MicheleS

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Reply with quote  #10 
Can you travel to NOLA?
I've heard that this center is really good.  I may go over there for a 2nd opinion...
http://www.breastcenter.com/introduction/techniques.php

I'd be happy to meet you over there to keep yo company!

ChrissieD

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Reply with quote  #11 
Gina that stinks! okay I really wanted to type something else but thought it was not appropriate :-)  I know you love your PS but maybe you need to find another one who does the IGAP if that is really what you want. 

I hope the antibiotics have kicked in and are doing the trick.  Good rest.

Chrissie
nosurrender

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Reply with quote  #12 
I have always wondered about NOLA....
My ancestors on my mom's side all come from there- We have a few gals from that area- I think we need a No Surrender Road Trip in the Big Easy

Chrissie, thanks, I know I need to sit down and talk with my ps about the I-gap

This infection isn't much better and I think it is wearing me down a bit.

I will be seeing him again on Thurs so maybe I will have more answers.




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lady4law

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Reply with quote  #13 
I have saline and quite happy with them. I had silicon for about 3 months. They were place without consent as I have a pacemaker and they are incompatible with PMs. My silicon implants became encapsulated within a week or two and looked like I had tennis balls on my chest and became so painful I was unable to find any comfortable sleeping position.

Even if I could have had the silicon,  after 10 surgeries, 5 chemos, and constant fear of BC returning, I would not want to push my luck regarding the silicon. If a saline implant breaks or leaks, it cannot hurt the body, but who knows what coudl happen with silicon. My saline implants feel much softer and lighter, even though they are 50% larger than the originals implants.

Just my 2 cents - if you ever develope any heart issues and should require a pacemaker, or have one now, silicon is OUT. There is no way to every have an MRI for the bi-yearly check-ups. (Which by the way are not covered under most insurnace plans, and probably not if the national health plan goes through.





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Dx 6/07 IDC, 5cm, Stage 3b, Grade 3 TNBC, Lump 6/07, Chemo-TC , Mast /rec 9/07, Chemo 10/07, 2 surgery 4 infections 11/07 12/07, Exchange 3/08, surgery (repair elbow damaged in mast) 5/08, Wrong implants, 2nd Exchange 10/08, Nipples and areolas grafted, PET/CT 5/09 lesions on thyroid, kidney, sinus, mastoid, "activities" in spine and hip, #small strokes. 3rd "Re-do" 8/09, Spinal nerves severed (pain) 9/09
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