A common misconception is that breast implants must be replaced every 10 years. Implants do not have a fixed expiration date, though they are not designed to last a lifetime and may require revision surgery over time. This article clarifies breast implant longevity and the factors influencing their durability and need for potential revision.
Understanding Implant Longevity
Breast implants are not lifetime devices, and their durability varies significantly. The average lifespan for both silicone and saline implants typically ranges from 10 to 20 years. Some may last longer, while others might need replacement sooner due to complications or aesthetic concerns. The “10-year rule” is a guideline for monitoring implant health, not a strict replacement schedule.
Several factors influence how long implants last. Implant type plays a role; silicone implants generally last longer (15-20+ years) than saline (10-15 years). Newer silicone gels are designed to be more durable and less prone to issues like creasing. Patient-specific factors, such as individual body responses, lifestyle choices, surgical technique, weight fluctuations, pregnancy, and natural aging, also affect implant appearance and position over time.
Reasons for Implant Revision
Even without a fixed expiration, breast implants may require revision due to biological or physical changes.
Implant Rupture
Implant rupture is a primary concern, differing between saline and silicone types. A saline implant rupture is immediately noticeable as the breast deflates, as the sterile saltwater is absorbed by the body. Silicone implant ruptures, known as “silent ruptures,” are often not immediately apparent because the cohesive gel typically stays within the surrounding scar tissue capsule.
Capsular Contracture
Capsular contracture is another common reason for revision. This occurs when the natural scar tissue capsule around the implant tightens and hardens, causing the breast to feel firm, painful, or appear distorted.
Other Reasons for Revision
Implants can also shift or become displaced over time, leading to changes in breast shape or symmetry. Rippling or wrinkling of the implant, visible through the skin, may prompt revision due to aesthetic concerns or discomfort. A rare but serious condition, Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), is associated with textured implants and can also be a reason for monitoring and potential revision. Patient preference, such as desiring a different size or shape, is also a common reason for electing revision surgery.
Monitoring Implant Health
Individuals with breast implants should proactively monitor their health through regular check-ups with a healthcare provider. These appointments help assess implant condition and address concerns. Self-examination is also important, allowing individuals to become familiar with their breasts’ normal appearance and feel, and to notice any changes.
For silicone implants, imaging techniques are recommended to detect silent ruptures. Magnetic Resonance Imaging (MRI) is the most effective method. The FDA recommends the first MRI or ultrasound screening 5-6 years after initial surgery, then every 2-3 years. Ultrasound is also a useful screening tool for both saline and silicone implants. Mammography, used for breast cancer screening, may require specialized views when implants are present.
Addressing Unresolved Implant Concerns
Ignoring implant complications or neglecting monitoring can lead to increased discomfort and more complex issues. Untreated problems, such as progressive capsular contracture, can worsen, causing more pronounced firmness, pain, or distortion. An undetected silent rupture in a silicone implant can lead to gel spreading, complicating future revision surgery.
Delaying care can also result in less favorable aesthetic outcomes. An untreated malposition, for example, might become more noticeable, requiring a more extensive correction. Proactive care and timely consultation with a healthcare professional for any breast implant concerns are important. Addressing issues early often leads to simpler solutions and better long-term outcomes.