I am weighing the TRAM vs. implants choices for a bilateral mastectomy. One big concern for me on implants is the risk of needing to replace an implant, which seems to be a very high risk over my lifetime (I am 56) (based on study results published in the implant makers' patient disclosures). My question is this: compared to the recovery time/discomfort/lifting restrictions that come with the original implant surgery, how extensive / difficult/ time consuming is an implant replacement surgery? I am self-employed and travel extensively to teach seminars for a living. These are scheduled out one year or more; cancellations with little or no warning (to accommodate an unanticipated implant replacement surgery would wreak havoc with my business. Still, the various flap surgeries have their own special risks, so I do not want to rule out implants. It would help me to know more abou the recovery time and especially restrictions after an implant replacement surgery. Many thanks if anyone can comment on this.