How to detect a rupture/leak in silicone implants?

I suggest you follow up with your plastic surgeon if you have concerns about your implants.
Unless you’re having symptoms or there is a problem, you probably don’t need to do anything.
Breast discomfort is common, and most women will deal with some breast discomfort on and off through their life.
The most accurate test to assess implant condition is an MRI. It is substantially more accurate than ultrasound or mammography.
The chance of silicon implant rupture does increase with time. 10 years, the chance is still fairly low.
When silicone implant rupture happens, usually patients will not be aware of the change until months later.
If there is a reaction to the ruptured implants, it is usually a very gradual development of capsular contraction.
Capsular contraction typically causes the implant to feel firm and severe capsular contraction. The implant can feel like a tennis ball and can be painful.
Mild cap or contraction typically has no other than feeling slightly firm.
If you read the implant manufacturers recommendations, it is to screen for rupture using MRI on a regular basis. Very few patients actually do this.
The cost of an MRI for cosmetic purposes is going to be quite expensive.
If patients are having medical problems including problems from their implants, then an MRI can be covered by medical insurance. Authorization and medical coverage is something you need to review through your policy.
If you have concerns, then your first step should probably be to follow up with your plastic surgeon if that is possible and convenient.
Best,
Mats Hagstrom, MD