Dear Doctor: Is it true that all silicon implants have microscopic gel bleeding? I had a MRI done 3 years ago and it suggested gel bleeding...My PS recommended monitoring as opposed to removal at the time. a recent MRI suggested intra-capsular rupture. I am going back and force at removal only and removal/replacement. if i decide to do replacement, do i have to accept the fact that there is always some microscopic leakage of silicon even if the implant shells are intact?