Implants can form a hard capsule after many years.

David A. Dreyfuss, MD answers: Hard breast implants

I had silicone breast implants inserted 4 years ago, and they have always been just fine, but now they are getting hard. I am worried that something is leaking.

David A. Dreyfuss, MD
17 months ago

Although it is unusual, some women can form a hard scar, or capsular contracture, many years after the initial implant. Most firm capsules form within the first year after surgery. However, some women notice changes after pregnancy or nursing. No matter what the cause, it should be evaluated by your Plastic Surgeon. It may just be a scar, but it could also be a rupture. Your surgeon should evaluate the scar and most likely will order an MRI to evaluate the implants.

If the implants are ruptured, they should be removed and replaced with new implants. If there is no rupture, your surgeon may consider surgery to remove the scar tissue and change the implants to try and prevent recurrence. There is no reason to live with hard and uncomfortable implants.

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