How long can I wait for surgery on ruptured silicone implant?

Capsulectomy does not have to be performed in the instance of thin, pliable capsules.  Leaving a capsule behind is preferred if it is thin and pliable because of risks of bleeding and fluid collection. If there are calcific components, or silicone granulomatous material, or if the capsule is deforming the breast tissue, then removal of the capsule may be warranted.  A number of scientific studies have demonstrated the safety of silicone implants; yet, many patients continue to have anxiety about their use.  Removing silicone implants under local anesthesia is appropriate only in the simplest case of pure removal.  Usually removing them and performing the lift at the same time makes the most sense as some patients clearly need a lift.

An ultrasound with mammagram is about 90 percent accurate in detecting a rupture. You might want to consider a MRI for a better view. Since you have the "new gel" implants, there is not a big hurry on removal if you are comfortable.

An MRI is much better at picking up implant rupture than ultrasound so I recommend you consider that. An ultrasound can have false findings and you don’t want unnecessary surgery. I recommend you consult with a surgeon regarding how you should proceed.  There is no urgency. Wait until you have the information you need.