One of the studies looked at about 1200 women who completed a survey called breast q designed to compare responses from women who had different types of breast reconstruction surgeries after mastectomies. Food and drug administration fda has approved saline silicone and highly cohesive silicone gel gummy bear breast implants for this use. If you plan to have a mastectomy and pursue reconstruction using breast implants as opposed to having tissue flap surgery tram diep latissimus dorsi you ll have three main options to choose from the u s.