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Usually the choice between saline and silicone is usually just an aesthetic decision. For me I feel the choice is an easy one considering my active lifestyle. Just this morning I went on a balloon jump and, although my opening was slow this time, I have had hard openings (which can cause the chest strap to do a number on my boobs. Although I am presently implantless, I am in the process of scheduling consultations to get them back! The last thing I need is a messy rupture which will require more downtime, and less active-time.
I am also worried that in the event of a silicone rupture, it is possible that every bit of silicone will not be removed. I just don’t feel the need to risk local complications from having inflammation from silicone being in the pocket area.