Silicone in one breast, saline in the other?

I had a skin-sparing mastectomy last fall, R breast, and a tissue expander inflated to 450 mL.  For my implant surgery (in a week from today), I plan to have a small implant in the L breast for symmetry / consistency. My plastic surgeon plans to use a silicone round implant for the R (mastectomy) side, and an inflatable round saline implant on the L side, under the muscle. The saline on the L side is so that, during surgery, it can be inflated to a size that best matches the R breast. She says it won’t feel any different. I’m not convinced this is the way to go. Is this a viable approach that plastic reconstruction surgeons use? Is there a better approach? Thank you for any information you can provide!


F, 60, British Columbia

The theoretical benefit of this approach is to be able to adjust the volume of your R implant.  But I would suggest having silicone in both sides.  The downside is that you may not be able to have perfect volume symmetry but I think this is an acceptable tradeoff.  The benefit is to have similar implant feel characteristics.  Talk with your surgeon about the options so you can feel comfortable with the decisions being made about your body.  Best of luck!