Yes, mammograms are still recommended for women with breast implants. Although, you should let your technologist know that you have implants, what kind, and whether they are above or below the muscle. Because the mammogram may not fully penetrate the silicone or saline, additional images may be taken to ensure a complete picture is captured of the breast tissue. For women who have contractures (scar tissue), the mammogram may be uncomfortable, but the mammogram should not affect the implants.