After a couple of unsuccessful tries with an expander and implant I opted to forgo the implant and use a prosthesis. My initial thought was why didn't anyone tell me about this option to begin with. The prosthesis is comfortable and I have been happy with it for 11 years. They make different styles for swimming and exercise, I do both and wouldn't consider trying for another implant. Of course if the reconstruction had been comfortable and successful the 1st time around I might feel differently. Good luck!