Is it unusual for my saline implants to last 35 years?

Regarding: " Is it unusual for my saline implants to last 35 years?
I had augmentation done in 1975 and, other than some early problems in the first 5 years, they seem to be ok. I am considering removal though as I'm 63 and concerned about mammograms not being accurate."

Breast implants do not last forever. Like all man made devices they eventually fail and leak. This happens anywhere from a day after the surgery to over 35 years later. Many leak after 10-15 years. Once they leak, a saline implant will go partially flat in a few days as the saline is absorbed by the body, while a silicone gel implant MAY be associated with vague symptoms but the breast will not change in size.

Interference with mammograms is always a consideration, especially with implants placed over the muscle. a MRI is a MUCH better screening test for breast cancer than a mammogram and while more expensive it will pick tumors much earlier.

Dr. Aldea

In my experience, saline implants may indeed last for 20 or 30 years. I do usually recommend removal on an elective basis for most patients whose implants are 20-plus years old simply because the unexpected rupture is frequently more difficult for the patient and physician to deal with. Certainly if your implants are 30-plus years old I'd recommend this. They can either be removed completely or removed and replaced. A board certified plastic surgeon can help you make a the best decision for your body.