I had breast reconstruction 6 years ago with silicone implants. No problems until developed burning pain after stretch. Rupture?

After placement of implants you have to develop scar tissue. This is called a capsule. The capsule can be soft or slightly firmer and cause symptoms. Without knowing where your implants are and performing an exam I would assume that your symptoms may have to do with scar tissue. Having said that it’s not a problem. If you want to check integrity of your implants you should be getting MRI at 5-6 years and every 2-3 years after that. This is something any breast surgeon, OBGYN, family practitioner can prescribe and is in line with FDA guidelines. Hope that helps!

It would be unlikely that stretching would rupture a silicone implant.  The symptoms you have described is most likely nerve related.  Pain that is described as sharp, shooting or burning is typically do to some irritation of a nerve.  Swelling, ongoing pain or worsening pain, fevers, redness or drainage would be a couple of causes to be seen urgently.   
Dr. E Wright

This is not an urgent problem, but one that may have long-standing effects. Implant-based reconstruction, although simple, is associated with high rate of long-term complications with capsular contracture and implant rupture being more common.
If you are healthy and have suitable anatomy, you may consider conversion to DIEP or muscle-sparing free TRAM flap option that will give you a natural looking breast made with your own tissue and flatter stomach akin to the one you see after a tummy tuck.
Thank you. 

Thank you very much for your question. Without getting proper imaging, it is hard to determine if you do have a rupture in your implants. The first step is to get radiographic imaging in order to determine if there is a rupture of the implant. Plastic surgeons can order these tests, but so can your gynecologist, primary care physician or breast surgeon. I would see if you can get into see one of these other doctors in order to get everything started. 

Please consult with a plastic surgeon board certified by the American Board of Plastic Surgery to learn about all of your options for revision breast reconstruction. 
Best wishes! 
Rahul Vemula, MD 
Double Board Certified Plastic and Reconstructive Surgeon

You don't need to see the surgeon to determine if there is a rupture.  Your primary can get the ball rolling with a mammogram and ultrasound.  If that doesn't show the rupture then they can pursue an MRI so that this is done by the time you get to see the surgeon.