What are my options for a saline breast implant leak?

Thanks for your question.
As the other physicians have mentioned the salty taste in your mouth and your saline implants are unrelated. There is no way for leaking saline to get to your nose or mouth. The saline is simply absorbed by the tissue around the implant pocket.
Implant ruptures should be evaluated by a board certified plastic surgeon. Usually, saline breast implants will not exhibit slow leaks but will leak like a ruptured balloon (very quickly). This will usually result in significant asymmetry. Silicone ruptures can be much more challenging to detect.
If your implant is leaking you may need to have the implant(s) removed or have the ruptured implant replaced. Implants that are ruptured that were placed in 2002 are likely still covered by the warranty. Be sure to contact your original plastic surgeon if you don't have the original paperwork. Warranties from Mentor or Allergan (the two largest breast implant manufacturers) usually last the lifetime of the implant.
I hope this helps.

Thank you for your question.  I would recommend scheduling a consultation or a follow up appointment with a board-certified plastic surgeon for a physical exam.  A physical exam would confirm if you are experiencing a saline breast implant deflation and all options will be discussed.  Based upon the information you provided, it seems as though you are experiencing a deflation since you have noticed a difference in both size and feel but you should have this confirmed.  The saline taste you are experiencing is unrelated to your implants.  Your body, specifically the tissue in and around your breast pocket, is absorbing any saline that may be leaking from your implant(s).  As far as exercise is concerned, saline implant leaks post no danger to your health so you should be ok, however, I do not recommend leaving any ruptured or leaking device in the body for any prolonged period of time. I hope you find this helpful and best of luck!

It sounds as if the implant is leaking.  I don't think it has anything to do with your nasal symptoms.  You can exercise, but you need to contact your plastic surgeon so they can arrange replacement of the deflated implant.