How do you know if cohesive gel implants are ruptured or leaking?

One of the purported benefits of cohesive gel implants is the decreased likelihood of leakage. Because of the cross-linking of the silicone, an implant shell which has been compromised does not result in a leak in the traditional sense of the word.That being said, manufacturers typically recommend surveillance MRI at regular intervals to assess for implant compromise. This is due tot the fact that a leak is nearly impossible to detect externally (unlike saline filled devices which simply deflate).As always, discuss your concerns with a board certified plastic surgeon.

One of the reasons cohesive silicone gel
implants have become popular is because they rarely leak, even when ruptured.
But that can also make it more difficult to know if a rupture has occurred. I
would say that it's unusual for both implants to rupture. If the scar tissue
around the implant has become tight (capsular contracture), then the implant
may be folded, and a corner can protrude. Your symptoms of numbness are hard to
explain, but I have seen that with tight capsular contracture. I recommend
scheduling an appointment with your plastic surgeon.