Replacing Breast Implants - Saline vs. Silicone

Breast implants are not lifetime devices. However, they do not need to be changed unless they have ruptured. A typical implant will last over 10yrs. I have seen some that have lasted over 25-30yrs.

With saline-filled implants the diagnosis is easier. The saline that leaks out of the implant is reabsorbed by your body, then the implant will deflate and your breast size will return to its pre-augmentation size. The saline is safe. At that point you will need to consult with your plastic surgeon to discuss replacement surgery.

With silicone gel-filled implants, the diagnosis of a rupture will require an MRI for confirmation. As always, regular follow-ups with your surgeon are necessary to not only answer all your questions but to have an exam to ensure your implants are intact. The FDA recommends an MRI every other year starting postop year 3 for silicone gel implants. The frequency can be discussed with your surgeon. Changing implants every 10yrs is not recommended unless they are ruptured. Otherwise, you are just exposing yourself to additional surgery and risk.

There is a myth out there that implants have to be replaced every 10 years. In general, if there is no problem with the implants or breasts, you should leave well enough alone.

If there are associated problems, such as a rash or abnormal-feeling implants, you should be evaluated by a Board Certified Plastic Surgeon to determine if replacing the implants is appropriate.

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