Replace Breast Implants Every 10 Years?

Should Breast implants be replaced every 10 years? If not, how often? Is this covered by insurance?

Doctor Answers (21)

No Need to Replace Breast Implants at 10 Years if There is No Problem

+5

Thank you for your question. There is a lot of confusion on this topic.

If you are happy with your Breast Implants at 10 years and there are no problems with them, most Plastic Surgeons would not recommend removal.

Problems which can occur and may require removal include:

  1. Rupture of Breast Implant
  2. Capsular Contracture or hardening
  3. Asymmetry
  4. Ptosis or sag
  5. No longer want Implants

Be sure to follow up with your surgeon. Generally Medical Insurance does not cover cosmetic replacement of Breast Implants. Most Implant manufacturers however have a warranty program for their implants.

 


Boston Plastic Surgeon
5.0 out of 5 stars 37 reviews

Breast Implants: Do They Have an Expiration Date?

+4

Many patients are confused as there is lots of misleading information out there...

 

The truth is, there is no exact "shelf life" or expiration date when it comes to breast implants. It is a common misconception that implants need to be replaced every ten years. I've seen patients whose implants have lasted 20+ years trouble-free, but have also seen patients who have experienced implant leakage after only a few years. If you are not having any problems with your implants, there is no need to replace them no matter how much time has past.

 

With saline implants, a leak is easily identified, because patients will notice the breast deflating and becoming smaller in size. It is not painful or harmful as the saline (or salt water) is just absorbed by the body. Although not critical to your health, replacement is recommended as soon as possible. Saline implants do not require any special monitoring.

 

A rupture or leak is a harder to tell with silicone implants. The silicone gel tends to stay in the area of leakage and the volume or size of the implant is maintained. The newer generation of implants do have lower rupture rate than older implants, but detection is still difficult.

 

The first way to evaluate the silicone breast implant is with a physical examination by your plastic surgeon. Very often the first sign of a leak or rupture is thickening or hardening in the tissues surrounding the implant. Confirming a leak can best be done with an MRI of the breast, as a mammogram is not very good at detecting leakages. With silicone breast implant leakage or rupture, it is recommended that the implant be replaced or removed as soon as possible.

 

My recommendations for monitoring silicone implants are a yearly physical examination by a plastic surgeon and an MRI every other year.

 

Brad Herman, MD
Miami Plastic Surgeon
5.0 out of 5 stars 1 review

Clinical history not just implant age

+2
Implants should be replaced when there is a problem.  Deflation, capsular contracture, implant malposition, and problems with size are all legitimate reasons to replace the implants.  

Gary Lawton, MD, FACS
San Antonio Plastic Surgeon
5.0 out of 5 stars 23 reviews

You might also like...

No need to replace implants every ten years.

+2

Implants are not permanent devices.  Most things that we place in the body at some point need to be replaced.  Having said that, there is not an automatic trigger.  If the breasts are soft and in good shape, and the implants are intact, most would leave them alone.  Silicone leaks are hard to appreciante clinically, and so an MRI is used for detection. 

Jeffrey Roth, MD
Las Vegas Plastic Surgeon
4.5 out of 5 stars 9 reviews

Replace Breast Implants Every 10 Years?

+1
There is no time limit as to when or if you need to exchange your breast implants (I have also 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 your breast implants and are having no problems, you don't need to do anything. Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 793 reviews

Breast implant replacement

+1
Implants do not have to be replaced every 10 years contrary to what any people believe. Implants only need to be replaced when there is a problem with them. Insurance will cover the cost of your surgery if there is a complication related to it however insurance will probably not cover the cost of a new implant. You should make sure what is covered with your insurance provider.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 74 reviews

Breast Implant Life Expectancy

+1

         This is a commonly asked question and frequent source of confusion amongst patients. There is a general misconception that breast implants should be replaced every ten years. The origen of this belief is unclear, but is probably secondary to misinterpretation of implant warranty terminology.

 

         The manufacturers of breast implants clearly state that these devices are not intended to last a lifetime, despite this, many patients can expect to have implants last their entire lifetime. Current studies suggest that implants deflate at a rate of one percent at one year and three percent at three years. Overtime, this number can be expected to grow.

 

         Implants may deflate with no apparent cause or may deflate secondary to some type of trauma. Under these circumstances, the decision to replace implants is easy. If a patient is doing well and not having problems with breast implants, we see no reason to routinely replace implants just because a set time period has passed.

 

         Although, insurance doesn’t generally cover the cost of implant replacement, these devices do come with a warranty. In some cases, extended warranties can be purchased as well. When implants deflate, the warranty usually covers the cost of replacement. 

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 89 reviews

Breast implant replacement

+1
This is a frequently asked question and the answer is no.   You do not have to replace your implants every 10 years.  Replace your implants if you are unhappy with the size, if ptosis (sagging) occurs or if you have an implant rupture.  

Keep in mind that breast implants are not intended to last a lifetime, therefore plan to have them replaced at some point in your lifetime.

Most insurance companies will consider the breast augmentation a cosmetic procedure and will not cover a replacement.  Most of the implant manufacturers offer an implant warranty program - if an implant rupture occurs before 10 years, they will assist with costs associated with your surgery.  

Thank you for your inquiry! Follow up with your Plastic Surgeon if you have any questions or concerns.

Rafi S. Bidros, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 6 reviews

No expiration date on breast implants

+1

Hi,

Thank you for your question!

There is no expiration date on implants so it is hard to say when or if they will ever need to be replaced. As long as you have no signs of deflation, capsular contracture, or any other problematic issues with your breasts, they may never need to be replaced. It is important, especially if you have silicone implants, to get a regular mammogram or MRI to make sure everything is ok. Other than that, if you are not experiencing any problems with the implant, and they still look good to you as time passes by, then there is no need to replace them.

Insurance will usually not cover the implant replacement procedure as it is usually determined to be cosmetic. However, most implants come with a warranty, so the cost of the implant might be covered if the implant is leaking.

Sam Speron, MD
Chicago Plastic Surgeon

Implants do not have to be replaced every ten years.

+1

The good news is - implants do not have to be replaced every ten years. We expect implants to last longer than that although of course the exact life of each set of implants cannot be guaranteed. however the implant companies believe so strongly in their products that if the implants do break the companies will replace the implants.

Depending on the company and the type of warranty that might have been purchased at the time of the original surgery there may also be some compensation for the Operating room costs as well. That said - how do you know if there is a problem with your implants? Some women experience a change in size or feel of the breast.

However the best way to examine the implants is by MRI - currently the FDA has recommended a MRI every three years for a women with silicone implants .

Susan E. Downey, MD
Los Angeles Plastic Surgeon
3.5 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.