Silicone implants are safe. Period Breast Implant Illness and silicone related medical complications are controversial topics. It is a phenomenon which is supported by a wealth of anecdotal data (patient testimony) but no empiric data (hard scientific research). Patient reports a litany of symptoms which they attribute to their implants but the connection is difficult if not impossible to prove via laboratory study. Physician scientists may recognize anecdotal data but unless it is supported by Class I empiric data, it is difficult to place a great deal of faith in it. Clinicians make decisions based upon evidence based medicine. That being said, it is easier to identify what one knows rather than what one doesn't. What we do know is that by all available measures today...implants are safe and specifically silicone implants are safe. Silicone breast implants are among the safest medical devices in use today. These devices are also among the most rigorously studied and tested medical devices currently being used in the U.S. today. It is biologically inert and in that respect no different than the titanium used for bony fixation. There has been no demonstrated link between silicone and the commonly cited myth of autoimmune disease. Finally, although very rare, there is a correlation between textured silicone devices and BIA-ALCL (Breast Implant Associated Anaplastic Large Cell Lymphoma). This is an exceedingly rare phenomenon whose cases number in the hundreds worldwide. Due to the fact that presentation may take years to occur post implantation, the number of cases is likely to rise. Until more data is available many are shifting their practice back to smooth round devices as there has yet to be a documented case in the setting of a non-textured device. It is important to remember that there has never been a documented case in the setting of a smooth device. Additionally, those cases that have been documented have been cured with removal and capsular excision.With regards to your specific question...what happens to the body if a silicone implant leaks?...nothing. The silicone leakage is generally contained within the capsule. There are generally, no outward signs of a leak which is why surveillance MRI exams at 2 year intervals are recommended (and rarely obtained). As always, discuss your concerns with your board certified plastic surgeon (ABPS).