This week, James E. Craigie, M.D., of The Center for Natural Breast Reconstruction answers your question.Question: I've had a mastectomy on right side and am ready for breast reconstruction and enhancement on the left side. I am small framed,thin and a very active mid 60 year old. I am having trouble deciding on saline or silicone implants. My expander feels very hard and I don't want that for implant. Answer: Thanks for your question. It is important for you to know that permanent implants (saline and silicone) are softer than the expander. Expanders are designed with metal ports and thicker shells so they can stand up to the expanding process. Silicone implants are definitely softer than saline filled and are generally preferred for breast reconstruction. My recommendation is that you ask your plastic surgeon to show you each type and let you feel for yourself prior to your surgery.Have a question about breast reconstruction or post-surgical you’d like answered from our surgical team? Just ask!