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How Long Do Breast Implants Last?

asked 3 years ago by Pamela Ashworth
Latest answer by William F. DeLuca Jr, MD
Question viewed 173,842 times
Tags: duration, last, replacement

I have had breast implants for 14 years and I am now developing a large rash under my left breast, and it hurts and I feel alot of air pockets. One doctor told me to replace them every 10 years and another told me you never have to replace them

78 answers to How Long Do Breast Implants Last?

+12

Breast implant replacement

There is no expiration date for breast implants, and I have seen patients that have had breast implants trouble-free for as many as 30 years. Nonetheless most breast implants are not lifetime devices, and I tell my patients that we hope that their implants will last approximately 15 years on average. As people’s bodies change over time they sometimes request other breast operations, including those to change the size of their implants or lift their breasts.
John K. Wakelin III, MD

Columbus Plastic Surgeon

www.columbusplasticsurgery.com

+9

How Long Do Breast Implants Last?

Breast implants can last a lifetime, but unfortunately there is no way to predict how long any particular one will last. We know from experience that current silicone gel implants are much more durable than ones placed twenty years ago. When saline implants leak, you will usually know fairly soon that there is a leak because the breast will start to get smaller. Over a five-year study period in my practice, the deflation rate for saline implants was 0.4% per... more
Robert M. Lowen, MD

Bay Area Plastic Surgeon

www.enhanced-you.com

+9

Breast Augmentation: Can Breast Implants Last a Lifetime?

While breast implants do have the possibility of lasting a lifetime, the implant manufacturers do not consider them 'lifetime devices' as the possibility exists that over time the outer shell will fail. Saline breast implant failure is quite obvious when it occurs, for when a saline implant leaks, the saline solution is quickly absorbed by the body and the 'deflated' side immediately looks smaller than the intact side. Several large studies have shown saline implant... more
Michael Law, MD

Raleigh-Durham Plastic Surgeon

michaellawmd.com

+8

Do I need to exchange my implant?

Implants are a well constructed mechanical device, but like any device they may eventually fail. In saline implants the rate of rupture has been quoted somewhere between 1%-4% per year. Basically the older the implant the higher the risk of rupture. With a saline implant, If your happy and you look good my philosopy is if "it's not broke don't fix it" If the shell of the lmplant leaks it just releases salt water which is what your body is made of. You'll... more
Adam Tattelbaum, MD

Washington DC Plastic Surgeon

www.atcosmetics.com

+5

Trust but Verify

Breast implants do not have an expiration date and can last well over ten years. The key is to have regular testing and evaluation to ensure that the breast implants do not have leakages. If there is a leakage, you should contact a board certified plastic surgeon to determine the best course of action. If there is no problem and you still enjoy the size, shape and projection of the implants, then you should not expend the time, money, and emotional resources to replace the breast implants. more
Kris M. Reddy, MD, FACS

West Palm Beach Plastic Surgeon
+4

Longevity and replacement of breast implants

Saline and silicone implants have a deflation/rupture rate of about 10% during the first decade after they are inserted. Some women are fortunate and can go 10-20 years with implants, while others are unfortunate and can experience a deflation in the first year or two. The chances that you will have a "reoperation" after your initial surgery is about 25% in the first 10 years. This means one our of every four patients will have another breast surgery in the first decade. This is... more
William Bruno, MD

Beverly Hills Plastic Surgeon
+4

Generally there is no expiration date.

As most of the other doctors have mentioned - Implants do not necessarily need to be changed out at any interval. The numbers you hear people talk about are based on averages of people that have had the implants replaced. The most often cited number is (again... on average) every 10-15 years people will need an additional operation for their breast augmentation. Now that number is based on surgeries for all reasons - ruptured implants, want larger implants, have capsular contracture, just... more
Steven H. Williams, MD

San Francisco Plastic Surgeon
+4

There is No Expiration Date!

Breast implants are not like cartons of milk, there is no expiration date. Implants do fail in time, as they are man made devices and all eventaully will. Saline and gel devices have individual rates of failure and to make it easy average around 1% per year. This means in 20 years there is a 20% , or 1 in 5 chance of failure. At 50 years, there is a 50% chance. So just determine the odds. There is no date to change the implants, if they fail, change them. For saline devices it is easy to... more
Michael S. Beckenstein, MD

Birmingham Plastic Surgeon
+4

Usually 10-15 years

Patients who see their doctors annually have their implants in an average of 10-15 years. However, that doesn't mean they need to be replaced during that interval; many patients have their implants even longer and are problem-free. However when problems such as the ones described here come up, it is imperative to see your doctor to have an examination.
Brent Moelleken, MD

Beverly Hills Plastic Surgeon
+3

Today's Improved Breast Implants Should Last Many Years

Breast Implants are now designed to last for decades but not considered lifetime devices. Deflation rates are only about 1% per year. Most patients will never need replacement for this reason. I tell my patients that even after 15 years of practice, I see very few deflations and rarely change an implants for this reason. On the other hand, I also let them know that many women who have breast augmentation will need another operation sometime in their lives for age related breast... more
David L. Mobley, MD

Sarasota Plastic Surgeon

sarasotaplasticsurgery.com

+3

Replacing Breast Implants

There really is not need to replace them if you are not having any issues. The implants have a lifetime warranty and could perhaps last that long but most often revisional surgery is needed to perhaps perform a lift or go larger or smaller. At that point most surgeons would replace the implants given the fact that you are in the operating room and under anesthesia. Most patients at this point desire to change size and some perhaps want to switch to silicone implants from saline. Hope that... more
Farbod Esmailian, MD

Orange County Plastic Surgeon
+3

No set rule as when to change breast implants

It is impossible to tell someone exactly how long their implants may last. It is possible that it could be for a lifetime. However, I tell my patients that they should not have breast implants placed unless they are open to having another surgery some time in their lifespan. Patients do need to understand that breast implants can 'fail', i.e., a saline implant can deflate and a silicone implant can 'rupture'. One will readily notice if their saline implant is deflating as their breast... more
Sanjay Grover MD

Orange County Plastic Surgeon
+3

Breast implant exchange myth

There is no time limit as to when or if you need to exchange your breast implants. I have heard from patients that they have heard that breast implants need to be changed every 10 years. The only reason you need to exchange your breast implants is if you are having a problem with them or if you'd like to change the size. Some of the potential complications that may arise would be deflation, capsular contracture, bottoming out, or just size change. If you are happy with the size of... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+3

Implant replacement is a personal choice, just like the original procedure

Great question Pamela. As you can see from the many responses there's an overall consensus about the stability and durability of both the saline and gel implants. Anything man/woman/machine made has a potential for failure, since nothing in our body remains stable for very long. The implant replacement issue was very prevalent during the early years of breast augmentation and before the newer 'models' were redesigned after the 10 yr moratorium by the FDA. Back then we had... more
Antonio M. Carbonell, MD

Raleigh-Durham Plastic Surgeon
+3

Replacing your implants... or not!

Like any device in medicine or, in fact, life for that matter, breast implants can fail after a period of time. This may be in the form of a rupture of the outer shell of the implant, causing the saline or silicone to leak out. With saline breast implants, the saline is absorbed by your body without a problem, and your affected breast becomes “deflated” or smaller again. With silicone gel implants, however, your body does not absorb the leaking silicone in the same way, and... more
Adam David Lowenstein, MD

Santa Barbara Plastic Surgeon
+3

Implants can be replaced for elective reasons such as a...

Implants can be replaced for elective reasons such as a desire to change from saline to silicone or a request for a larger size. The medical indications for removing implants are rupture of the implant or capsular contracture. Years ago many surgeons told patients to change their implants every ten years because the predominant implants at the time were siicone and there were no reliabel studies to determine implant rupture. Today we have reliable studies with MRI and we have better quality... more
Robert W. Kessler, MD

Orange County Plastic Surgeon

www.drrobkessler.com

+3

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... more
Bahram Ghaderi, MD

Chicago Plastic Surgeon
+2

How long do breast implant last?

Most breast implants will last a lifetime. There is a common misconception that implants will only last 10 years. This is not true. If you have no problem with your implant then nothing needs to be done with them. The only reason you would change an implant is if there is a problem with them. The most common long term problem is implant rupture. The risk of a rupture is 1% a year. So the risk of having a broken implant at the end of 10 years is 10%. That means that 90 % of implants... more
Frank Lista, MD

Toronto Plastic Surgeon

www.theplasticsurgeryclinic.com

+2

Breast implants do not require a replacement or maintenance schedule

Breast implants do not require "scheduled maintenance" or replacement every 10 years.  In general, it is not necessary to do anything but enjoy them unless they cause a problem.  In your case, pain and new "air bubbles" probably warrants and evaluation by your plastic surgeon as these symptoms may indicate an issue with the your  implants
Elizabeth Lee, MD

Bay Area Plastic Surgeon
+2

Breast implants do not have to be replaced every ten years unless there is a complication.

If you are seeing a rash, you will need to see your Doctor to determine if this is implant related.  Replacing implants every ten years is a myth, although warranty coverage may only last for ten years,  If you have a rupture in a saline implant, you will know because the implant will deflate.  Detecting ruptures in silicone implants is a little more difficult and requires an MRI or an ultrasound, whichever your surgeon recommends.  Do, however, get this checked asap... more
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+2

When Should You Replace an Implant?

There really is no expiration date for implants that are not causing problems. For a period of time, plastic surgeons and breast implant manufacturers advised consideration of elective replacement of silicone gel implants after 10 years.  With the newer highly cohesive gel implants (sometimes called "Gummy Bear" implants or form-stable implants), the implant manufacturers and many plastic surgeons have discontinued recommending elective replacement every 10 years... more
Paul C. Zwiebel, MD

Denver Plastic Surgeon

www.pzwiebel.com

+2

There is no expiration date on your breast implants

Your breast implants are designed to last forever. Unfortunately, they probably won't. There are three major reasons to change out implants: 1. Implant failure: In the case of saline, this is generally obvious when the implants deflate. In the case of silicone gel, an MRI is often necessary to detect implant rupture. Implant failure is the most common reason for changing out your implants. 2. Capsular contracture: If your breasts become excessively... more
Ronald Friedman, MD

Dallas Plastic Surgeon
+2

Replacement of Breast Implants and How long Breast Implants Last

When to replace breast implants is a very complex topic.  There are a number of reasons to replace implants.  They include: 1.Rupture 2.Capsular Contracture 3.Rippling 4.Size Change 5. Changing between silicone and saline There is no recommended interval at which you must change your implants.  We always advise our patients that breast implants are not lifetime devices and therefore you should expect to replace them at least once in your life.  For... more
Neil J. Zemmel, MD

Richmond Plastic Surgeon
+2

Implants have different lifespans

There is no set time that an Implant will last without rupturing. However, here is what I have observed after 23 years of experience: Silicone Implants last longer than Saline Implants. I have seen women with intact Silicone Implants after 25 years. Saline I've seen last as long as 17 years. Smooth Surfaced Implants last longer than Textured Surface Implants. With regards to Implant Replacement, I have 2 suggestions: Leave the Implants alone and only replace them if they rupture or... more
Christopher Costanzo, MD

Thousand Oaks Plastic Surgeon
+2

Lifespan of Breast Implants

The decision of replacing implants depends on your type of breast implants (saline vs. silicone). Your breast implants can be replaced when the implants fail. This can be 5 years, 10 years or even 30 years.The detection of a fail saline implant is very simple. The breast with the failed breast implant will deflate. When this happens, the breast implant will need to be replaced. The same applies to silicone implants. owever, the failure of silicone implants is harder to detect, since the... more
T.Y. Steven Ip, MD

Orange County Plastic Surgeon
+2

Breast implants replaced when needed

Breast implants are designed to be left in for a lifetime. With that said they all have an approximately 1%/year rate of rupture. And studies have indicated that a majority of women who undergo breast augmentation will need another surgery within 25 years. Now that doesn't mean necessarily due to rupture. Women will often need another surgery because the breasts have changed.So unless you have a problem you don't need to change the implants. Since you are having issues see your plastic... more
Christopher L. Hess, MD

Fairfax Plastic Surgeon
+2

Yours sound like they may need to be replaced

There is no expiration date for breast implants-- some patients need them replaced within a few years, others never need them replaced. But based on what you're describing, you may very well need them exchanged. I would consult with a Board Certified Plastic Surgeon to discuss what your options on, including what type of implant to now use (saline versus silicone, for example).
Shahram Salemy, MD

Seattle Plastic Surgeon
+2

Experience will vary

The average lifespan of implants manufactured in the US is 10-15 years, and the most common reasons they would need to be replaced are because they rupture, or because of capsular contracture (firmness and shrinkage of the connective tissue surrounding the implant) which may or may not cause discomfort and/or distortion of the breast. If you are having problems- whether that be dissatisfaction with the changes in appearance of the breasts, pain, or loss of volume, I would consult your Board... more
Armando Soto, MD

Orlando Plastic Surgeon

www.DrArmandoSoto.com

+2

When Implant issues arise professional evaluation essential

Given the signs and symptoms described in this question, along with the amount of time the implants have been in place I recommend a prompt evaluation by a board-certified Plastic Surgeon experienced in the use of implants in breast surgery. While general statements about the lifespan of implants generally hold true the specific circumstances referenced here require investigation, independent of how long the implants have been in place.
Robert T. Grant, MD

New York City Plastic Surgeon
+2

Breast implants do not expire.

There is no absolute date from surgery that breast implants need to exchanged. That is saline and silicone. Peace of mind is a different issue. Saline breast implants do not seem to cause much concern and when they fail you will know it. All of the fluid will go out and the breast will be smaller. Sometimes this is a one day event others will note a progressive diminition in volume over a few days to weeks. Silicone gel is a differnet device and raises alot more concern and anxiety. To... more
Michael J. Brown, MD

Leesburg Plastic Surgeon
+2

Only necessary to replace a breast implant if shell is ruptured

You should return to your plastic surgeon to have the rash under the breast properly evaluated. The rash could be heat related, but it is not possible to determine this without an evaluation. Typically, we tell our patients that a breast implant is not a permanent device. Some will eventually fail. With a saline implant there is no question if it is leaking, the breast will gradually decrease in size. Eventually, over a 3 - 6 week period all fo the saline will leak out. This is not a... more
Jeffrey Zwiren, MD

Atlanta Plastic Surgeon
+2

It depends....

Regarding your rash - i would definitely see your surgeon as soon as possible. In regards to when to replace them, I share the same opinion as a lot of the others on this forum - if there is no problem with your breasts and they look fine, there really is nothing to do. Now if you have a change in shape, increased pain, develop hardness or lumps, change in volume, these are reasons to consider doing something or exchanging them.
Vishal Kapoor, MD

Beverly Hills Plastic Surgeon
+2

You should see an experienced plastic surgeon

Any time there is a new finding, certainly "air pockets" and a rash, you should see your plastic surgeon. You didnt mention whether you have salin or silicone gel implants. Typically when saline implants fail there is an obvious change in shape and volume of the breast. Mnay times when gel implants fail, the gel i contained in the natural capsule around the device and there may be no outward noticeable change. Most often failed gel implants csue no local problems and are... more
John E. Gross, MD

Los Angeles Plastic Surgeon
+2

A rash and air pockets?! Go see your doctor!

If you have developed "a rash and air pockets" you need to be seen by a plastic surgeon. There is one local "cosmetic surgeon" who recommends that his patients have implants replaced every 10 years. This notion seems ridiculous to every "plastic surgeon" who I have spoken to about this subject. If the implant is not causing you a problem, there is no reason to change it. Hardness of the implant, desire for change in size, and known leakages are good reasons to have implant exchanges but... more
Evan Sorokin, MD

Cherry Hill Plastic Surgeon
+2

You need to be examined by a competent and experienced...

You need to be examined by a competent and experienced plastic surgeon. Whether or not an implant needs to be replaced is independent of your symptoms. Generally speaking, implants do not have to be replaced unless they are not functioning in the way that they were intended. If we are talking only about leakage, saline implants will demonstrate leakage by a decrease in size or shape. Silicone implants may not change the breast size, shape or consistency, thus the "silent" leak... more
Robin T.W. Yuan, MD

Beverly Hills Plastic Surgeon
+2

Breast implants - how long do they last and when should you replace them?

In most cases your breast implants will last many years. Any breast implant can leak, and the incidence of leaking is slightly under 1% per year. That means that in 25 years, you may have a 25% risk of one of your breast implants leaking and needing to be replaced. There is no rigid schedule for implant replacement, and they never need to be replaced as long as they are intact. If a saline implant leaks, the breast gradually becomes smaller as the saline gets absorbed, and then you realize... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+2

Frequently, patients come in armed with the thought that...

Frequently, patients come in armed with the thought that every 10 years they need a new set of implants. This is simply an urban myth. If there are no problems with the implants, and if you are happy with the size, appearance and feel, then leave them alone. I have personally seen patients with 35-year-old saline implants who never had an exchange and never had a problem. As to the rash and feel of air pockets, these issues should be evaluated by a surgeon certified by the American Board... more
Richard P. Rand, MD, FACS

Seattle Plastic Surgeon
+1

Breast implants can last a lifetime (but not always)

Breast implants, whether saline or silicone, can and often do last a very long time. I have seen many patients who have had implants for 25+ years without incident. The durability of the latest generation of cohesive gel implants is even more impressive. That said, because the long term studies are still in progress and we can not estimate with confidence what the leak rate will be 20-30 years after surgery, I still explain to all of my augmentation patients that their new implants will... more
William F. DeLuca Jr, MD

Albany Plastic Surgeon

www.delucaplasticsurgery.com

+1

The Life Expectancy of a Breast Implant.

Breast implants have low failure rates which we discuss with our patients. The official manufacturer and FDA statement is that these are not lifetime devices. My personal recommendation to patients is to replace them if they fail. We do not do replacements on a schedule, since the vast majority of breast implant patients are not seeing problems at 10 years. Problems are usually visible with a saline implant deflation. It may not be as obvious with the new gel implants (the FDA suggests... more
Douglas J. Raskin, MD

Colorado Springs Plastic Surgeon
+1

Implant Longevity

There is nothing that I know that can last forever, That said, the FDA opinion is 13-15 years. But that is just a guidline not a rule. Implant shave been the most studies "devices" and even when ruptured, there is no evidence to show that health is adverewsly affected. A saline rupture would be immediately noticable because it will deflate and the body will absorb the water. Silicone a different in that ruptures can go undetected. Sometimes patients can feel changes in... more
Raj S. Ambay, MD

Tampa Plastic Surgeon
+1

How long do breast implants last

IN GENERAL THE LONGEVITY OF BREAST IMPLANTS ARE UNPREDICTABLE. I have had patients who had breast implants for over 30 years and never had any problems. On the other hand few patients had some problem with their implants shortly after their insertions. If one does not have any problem they should leave them alone. However if a patient feels that there may be something wrong with implants or if they even feel some changes in their breast they should bring it to the attention of their plstic... more
Fereydoon S. Mahjouri, MD

Minneapolis Plastic Surgeon

www.mahjouricosmeticsurgery.com

+1

Breast Implants and long term planning

Hello and thank you for your question. There is some truth in both answers. Although implants are technically warrantied for life against defects most women will want or chose to have them replaced at some point in their life. Reasons for replacing implants would include: -capsule contracture -desire for different size (bigger or smaller) -need for a breast lift -need for augmentation revision (pocket correction) -change from saline to silicone -weight... more
Remus Repta, MD

Phoenix Plastic Surgeon
+1

Do implants need to be changed?

Good question, typically implants do not need to be changed unless there is a problem, i.e. rupture, contraction or mal-position. Saline implants will not last a lifetime and when they deflate it is obvious. Silicone can last a very long time, but not a lifetime, I have seen silicone implants in place and problem free for over 40 years!
Jonathan Weiler, MD

Baton Rouge Plastic Surgeon

www.williamsoncosmeticcenter.com

+1

Breast implant question

You need to be seen and evaluated ASAP to determine if the rash is a reactive problem or an infection or possible a neoplasm. The doctor will need to know if you have saline or silicone implants. An implant can last a very long time and the rate of rupture is about 1% a year with a lifetime risk of 7-10%. I agree with the other docs who say " If it is not broken do not fix it" Please see a board certified plastic surgeon for consultation.
Gregory Lynam, MD

Richmond Plastic Surgeon

richmondsurgicalarts.com

+1

How long do breast implants last?

There is not exact answer to this. It is possible that they could last for 30 or more years. However, they are not expected to last a lifetime. As a patient gets older and they have children, etc. they will sometimes need a revision/implant exchange. On average, this is at 10-15 years from the time of the original surgery. As always, every patient is unique.
Dustin L. Reid, MD

Austin Plastic Surgeon
+1

How long do breast implants last?...

There is no expiration date on implants. If you are developing a rash I don't think it would have anything to do with your implant. I recommend that you see your surgeon or a physician to see why this rash is occuring. Patients are told implants last 10-15 years because of possible ruptures that may occur. Make an appointment with your surgeon to be examined and determaine what is needed to be done. Best of luck.
Jaime Perez MD

Tampa Plastic Surgeon

www.jaimeperezmd.com

+1

Breast implant expiration

Breast implants do not expire. They last until they fail or they are no longer wanted. I have seen implants last 35 years but this is the exception. These are man made object which generally fail at some point. On average they last about 10-20 years. I would recommend to any women who has had breast implants for more then ten years to go see a board certified plastic surgeon and get them checked out. Problems caught early are much easier and cheaper to... more
Chad K. Wheeler, MD

Spokane Plastic Surgeon
+1

Breast implants last about 15-20 yrs on average.

The longevity of them also depends on the type of implants. silicone has been shown to last longer than saline. my advice generally is that implants do not need to be replaced by age alone. in other words, don't worry that they are 10 yrs old and that they must be replaced. they are not tires that have a defined life span. if the implants are causing problems - like you are describing - you should definitely have them checked out by a board certified... more
Eric Chang, MD

Baltimore Plastic Surgeon
+1

Longevity of Breast Implants

The life span of breast implants varies. The two breast implant manufactures in the United States (Allergan and Mentor) offer a life time warranty on all their implants, saline or silicone. If one of their implants ruptures or leaks they will replace the implant for free, and will offer finacial assistance if the leak occurs within 10 years of implantation. This covers leaks that occur for any reason, such as trauma or spontaneous deflation. Most leaks occur from... more
David Finkle, MD

Omaha Plastic Surgeon

www.bodybyfinkle.com

+1

Risk Factors associated with Gel or Saline Implant Ruptures

Implants do not last forever, whether they are gel-filled or saline-filled. For saline implants, the deflation rate has been quoted by manufacturers to be 1.5% per year which is accumulative. In other words, the longer the age of the implant the higher the deflation rate. For example, the deflation rate of a 10-year old saline implant is probably 15%. However, two factors will increase the deflation rate. Capsular contracture and underfilling the implant will lead to earlier than expected... more
Lu-Jean Feng, MD

Cleveland Plastic Surgeon
+1

Lifespan of Implants

Lifespan of Implants – This is a very good question. We know that all implants placed in the human body last between 10-15 years. Once your breast implants are between 8-10 years you need to be followed more closely by your plastic surgeon with ultrasound and regular mammograms annually. Certainly, for saline implants it is quite apparent when they deflate or rupture as they go flat on the breasts. However, for silicone gel, they need to be monitored especially after 10 years. If they... more
Rod J. Rohrich, MD

Dallas Plastic Surgeon
+1

Lifespan of breast implants

The question of the longevity of implants is a subject of some controversy. If the implants are not bothering you or demonstrating leaks or capsular contractors, there is no reason to replace them. Studies performed with the old, silicone gel implants suggested that, at the 10 year point, more than half of them were suffering leaks. This is a general guideline and every case is a thing unto itself. A rash would not, in and of itself, indicate a problem with the implant but, in any case,... more
Robert L. Kraft, MD

New York Plastic Surgeon
+1

Duration of breast implant durability?

This is a common question and does not have an exact answer. Personally, if you have saline implants and you are happy I see no reason to worry at this time. If you have silicone implants you may want to discuss exchange for a new set of implants with your board certified plastic surgeon. There are several options for you to discuss in a lengthy discussion with your surgeon. Make sure he/she is certified by the American Board of Plastic Surgery. All the... more
Talmage J. Raine, MD

Chicago Plastic Surgeon
+1

No expiration date on implants

One of the blogs on my website is entitled 'The ten biggest lies in plastic surgery.' The myth that implants need to be changed every ten years I believe is number one on that list. I have no idea who is originally responsible for that rumor, but in is not true. Although any implant can rupture at any time, most modern day breast implants should last 15-20 years before a deflation occurs. That is why both Allergan and Mentor offer such terrific warranties on their... more
James McMahan, MD

Columbus Plastic Surgeon
+1

Breast Implants Last How Long?

Mentor and Natrelle, the breast implant manufacturers in the United States, each offer a 10 year warranty to replace breast implants. So the safe answer is about 10 years. Now, that answer applies only to a statistical patient population, not an individual. I have had patients with breast implants without problems for over 30 years! However I have also seen patients requiring replacement after only 4 years. Should a patient be unlucky and have an early implant failure,... more
William A. Wallace, MD, FACS

Jacksonville Plastic Surgeon
+1

There is no expiration date for the breast implants

Patients sometimes confuse the difference between expiration date on breast implants and expiration of warranty for the breast implants. There are 2 most reputable companies in the United States manufacturing breast implants. Mentor and Allergan, formerly known as Innamed and McGhan, both have similar products and similar 10 dear warranty. The rupture rates on both implants is about 1% per year. The decision to change the breast implants is dependent on having problems... more
Boris Volshteyn, MD, MS

Reno Plastic Surgeon
+1

Life span of breast implants

There is no absolute definitive answer to the question but many will say approximately 10 years.  The new outer shells of both the silicone and saline implants have improved markedly over the years.  The silicone implant shell, however, is superior and may prove to be more durable than the saline implants over time.  The FDA recommends that the silicone implants be replaced at 10 years but this is just a recommendation and not a requirement.
Michael Baroody, MD

Danbury Plastic Surgeon
+1

Implant longjevity

I have seen implants last as little as 5 years and as long as 20 or more.  In your current situation, the first step may be to return to the physician who placed them.  If not, see another qualified plastic surgeon.  The rupture rate is approximately 1% per year.  If they are not broken, they don't necessarily need to be fixed.  However, the symptoms your are experiencing are not normal and should be examined. Good luck!
Jason R. Hess, MD

San Diego Plastic Surgeon
+1

When to replace your breast implants

Breast implants typically last about 10 years, but they could last much longer. Implants do not need to be replaced until they deflate or rupture, or some other problem develops. It sounds like you are having some problems with your implants, and further evaluation is appropriate. I recommend that you see a board certified plastic surgeon in consultation soon.
Amy M. Sprole, MD

Wichita Plastic Surgeon
+1

How often to replace breast implants

Breast implants (saline or silicone) can last forever.  A saline implant should be replaced if it fails or if there are other areas of dissatisfaction (rippling, palpability etc...) Silicone implants CAN last forever.  The problem is in diagnosis of implant failure.  It is difficult even for an experienced plastic surgeon to accurately diagnose early failure by physical exam.  A failed silicone implant can lead to contracture, implant distortion and pain... more
York Jay Yates, MD

Salt Lake City Plastic Surgeon
+1

Breast implant replacement

Saline breast implants generally last 10-15 years with a 1% deflation rate per year.  You don't have to replace them until they fail.  There is no harm in waiting until the implant breaks.  Some patients prefer to replace their implants before they have a deflation.  Sometimes the patient is looking to go bigger or smaller or may need to have a breast lift.  Silicone implants should last longer than saline implants.  However, the new silicone cohesive gel... more
Stanley Castor, MD

Tampa Plastic Surgeon

www.DrCastor.com

+1

When you replace implants depends on the type of implants

I don't know if you have saline or silicone implants.  If you have saline implants, they don't need to be replaced until they fail.  Probably what you refer to as air pockets are actually ripples in the implants.  If you have silicone implants, it is recommended they be replaced every ten years to prevent them from leaking in the body. You may chose to replace your implants if they are unsatisfactory in some respect.  The most common reasons are ripples,... more
Daryl K. Hoffman, MD

Los Gatos Plastic Surgeon
+1

Yours should likely be replaced now

Your 14 year old implants may now need to be replaced, since you are clearly having a problem with one of them.  Implants are not, and never have been, life-long devices.
Carmen Kavali, MD

Atlanta Plastic Surgeon
+1

Modern implants should last a lifetime

Newer generation of implants do not need to be replaced on a regular basis. Older generation from 20 years ago were found to leak after a certain amount of time and thus it was recommended to have them replaced every 10 years. That is no longer the case. So unless you have a problem with your implant, or you WANT to replace them, you do NOT need to have any additional surgery. Do you have saline or silicone implants? Sincerely, Martin Jugenburg, MD more
Martin Jugenburg, MD

Toronto Plastic Surgeon

www.torontosurgery.ca

+1

How long do Breast Implants Last

Breast Implants can last several years or for a short time. The general rule of thumb is that 25% of patients undergo breast implant changes for numbers of reasons including: 1. Rupture 2. Capsular Contracture 3. Change in Size 4. Malposition 5. Rippling Patients do not have to have their breast implants replaced unless the are concerned with the appearance of the breast implant, the feel of the breast implant, or if their breast implant is ruptured. more
Ankit Desai, MD

Jacksonville Plastic Surgeon
+1

Change them when YOU want.

Unless you are having an issue with size, appearance, or rupture, you generally have no need to change your implants.  Be aware that any expense involved in changing them is your responsibility, so there should be some motivation to do so. If you have any concerns, you should go to a reputable board certified Plastic Surgeon in your area to discuss. Best regards.
Brian K. Brzowski, MD

Salt Lake City Plastic Surgeon

www.brzowski.com

+1

Replacing breast implants

Breast implants are replaced for several reasons. The obvious reason is rupture. Rupture rates are less than 1%. If a saline implant ruptures, it deflates and the loss of volume leads to asymmetry. Silicone ruptures can go undetected and can sometimes be brought to one's attention from a mammogram. If the implants are not broken there is no need to fix them. Another reason to replace an implant is because of capsular contracture. That's when the scar tissue around the implant shrinks... more
Chester K. Cheng, MD

Bay Area Plastic Surgeon
+1

Breast implant last: The actual word-for-word FDA recommendations

I'll address the more pressing issue first. We are told many different answers on how long one should go with breast implants. Some of the more senior surgeons respond that the FDA recommends that we tell our patients that the FDA recommends we exchange implants at 15 years even if they appear intact. Once the patient has heard this recommendation, they can do as they wish but we as physicians have held up our side of the deal with the FDA and document it in the chart. This doesn't seem to... more
Ricardo A. Meade, MD

Dallas Plastic Surgeon
+1

There is no ‘expiration date’ for breast implants

There is no ‘expiration date’ or specific time when breast implants need to be exchanged or removed. We counsel our patients prior to their breast surgery that they must willingly accept the concept that there is a reasonable chance that they may need to have their breast implants replaced or removed during their lifetime. Replacement of the implants may occur for several reasons when it is determined that they are faulty, other complications necessitate their removal, the... more
Stephen A. Goldstein, MD

Englewood Plastic Surgeon
+1

No Fixed Answer

There are various answers to the question of implant longevity. This is because there are multiple manufacturers, multiple sytle, shapes, uses, etc. It is reasonable to expect that the implant should last about 15 years (rough estimate). If the implants are in tact, not giving you problems need not be replaced. As long as you are happy with your result, leave them alone. It is important to follo up with your well woman exam as recommended by your gyn, and also to follow up with your... more
Scott E. Kasden, MD

Dallas Plastic Surgeon
+1

If you're not having a problem with your breast implants, don't worry

Good question! There is not one good answer. If your implants are today's newer, stronger implants, they may almost last forever. Silicone implants that were inserted years ago had a thinner shell and many may have ruptured. If they are causing problems, they need to be replaced. Today's silicone implants are stronger and carry a lifetime warranty againt rupture. If a saline implant breaks - you know it, because the volume goes away. Other than that, if you are not having a problem then... more
William B. Rosenblatt, MD

New York Plastic Surgeon
+1

Breast implants will outlast you

Both major US breast implant manufactures have a lifetime warranty on their implant, as well as a 10 year warranty on the replacement cost, if they deflate. Therefore, your implants are good forever, but statistically, according to the FDA, most women tend to change their implants (not beacuse of the implants) within 18-20 years.
S. Sean Younai, MD

Beverly Hills Plastic Surgeon
+1

Several issues in one question

1- Durability of breast implants - Saline implants will last a very long time. About 5% will leak in the first ten years and then the number of leakages will increase significantly. A leakage is not dangerous but the loss of volume can be embarrassing. Silicone implants can be divided into generations. The pre-FDA approval variety and the newer FDA approved cohesive gel implants. The earlier variety have a higher rate of capsule contracture and were known to have the silicone shell... more
Robert M. Freund, MD

New York Plastic Surgeon
+1

On average, breast implants last 10-15 years

Hello, When you ask this question, the answer really depends upon the type of implant you have had placed. A rash under the breast is especially worrisome. When the implants are silicone gel implants, it might mean that the implant has ruptured and the gel is affecting the tissues including the skin. Your mention of "air pockets" makes me think you likely have saline implants. The rash indicates a reaction, so I would get this evaluated by your plastic surgeon ASAP. When saline... more
John P. Di Saia, MD

Orange Plastic Surgeon
+1

When to change implants

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.
David A. Dreyfuss, MD

Chicago Plastic Surgeon
+1

Talk with your surgeon

While most breast implant suppliers give a manufacturer’s warranty of about 10 years, they only need to be replaced when they need to be replaced. If they have not ruptured and you do not have any other complications like capsular contracture then the implant has some life. That being said, you may not want to wait until the implant ruptures to have them replaced. They do not last forever and they should be replaced at least once depending on how long you have had them and plan to... more
Joseph G. Bauer, MD

Alpharetta Plastic Surgeon
+1

For the general question of when to replace them: My...

For the general question of when to replace them: My feeling is that if there is no specific problem, then there is no "expiration date" for the implants. That being said, if you suspect that something is wrong, then a workup to evaluate the implants should be implemented.
Steven Wallach, MD

Manhattan Plastic Surgeon

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