I had my saline breast implants before I got cancer. I never had an issue at all with mammograms and implants. I did have breast tissue thought before I got the implants in. So the technician would just press the implant out of the way and pull the breast tissue forward. However I will never get saline Implants again! They rupture way too soon. Right now my right breast is totally deflated. Not from mamogram, just from the life span of them. I am due to have surgery this Monday. My surgeon said I could replace both of them with silicone or just do an explant. I am leaning towards explant. I should mention my cancer was dcis and caught by the mamogram. I alternate now between mammogram and mri every 6 months. I choose to do lumpectomy plus radiation. I am 47 years old. I think you should be fine with a mamogram. I would not skip anything that could detect cancer. It’s not worth the risk. Good luck !