Yes, women with implants can certainly get mammograms. A saline or silicone filled sac used during plastic surgery to enlarge or restore the shape of the breast. for cosmetic augmentation reasons can be placed either under the chest muscle or just above the muscle but below the glandular tissue. There are different indications for each placement. The technologist who does the A low dose x-ray picture of the breast that allows a doctor to view glandular tissue and determine the presence of cancer. has plenty of experience with women with either implant placement, thus they all can get very satisfactory A low dose x-ray picture of the breast that allows a doctor to view glandular tissue and determine the presence of cancer.. Additional views may be necessary as both saline and silicone gel implants are radio-opaque and thus X-rays cannot penetrate straight through them. If there is any difficulty with a specific view, the possibility of getting an MRI is an excellent way of resolving an ambiguous X-ray.