Breast implants are not designed to last a lifetime. Over time, implant shells may weaken or break down, causing the fluid inside to leak out into the body in a process known as implant rupture. Other issues—such as infection, capsular contracture, or calcium deposits—may require removal or replacement of the implants. In addition, it can be more difficult to detect and treat benign and cancerous growths in implanted breasts than in non-augmented breasts.

Monitoring saline- and silicone-filled breast implants as well as the surgical site and the natural breast tissue is essential in ensuring your continued breast health.

The Importance of Self-examination

All women should perform monthly breast self-examinations. They are one of the best ways to monitor changes in your breasts and your implants.

For a menstruating woman, breast exams are best performed at the end of the menstrual cycle so that hormonal influences on the breast tissue are at a minimum. For post-menopausal women, choose a time each month that is easy to remember, such as the first of the month. 

When should I have my breast implants examined by a physician?

Women who have had breast augmentation with implants should see a board-certified cosmetic surgeon every year for an expert examination of the implants.   After the examination, radiographic studies such as ultrasound, MRI, or mammography may be recommended.

Silicone Implant Monitoring: Detecting "Silent Rupture"

Recent data suggests that women who have silicone implants should be evaluated with MRI three years after the initial implantation and every two years thereafter. The reason for this is that rupture of a silicone implant is often not noticeable. In fact, it's commonly called "silent rupture." An MRI is the best way to confirm that your silicone implants are intact.

What happens after the exam?

Read more about common problems with breast implants and the procedures we perform to correct them.