Breast implants are not lifetime devices, and it's important to monitor them regularly to ensure your long-term health and safety. According to the American Society of Plastic Surgeons (ASPS), patients with silicone gel breast implants should have regular imaging—such as an MRI or ultrasound—starting five to six years after their initial surgery, and every two to three years thereafter. These screenings help detect silent ruptures, which won't cause noticeable symptoms.
While implant rupture is not considered a medical emergency, it can lead to changes in breast shape, firmness, or discomfort. When a rupture is confirmed, the typical recommendation is to remove and possibly replace the implants.
Dr. Branch’s Perspective
As a board-certified plastic surgeon and member of the ASPS, Dr. Branch fully supports the society’s safety standards. In his own practice, he often advises patients to consider elective replacement of their breast implants before a rupture occurs. In his experience, surgery is much quicker, cheaper, and generally more straightforward when implants are replaced proactively rather than after a rupture. He feels this better prevents silicone gel exposure and the associated risks both know and unknown
This approach doesn’t contradict ASPS guidelines but instead reflects a preventive mindset that prioritizes patient comfort and minimizes the surgical risk. Every patient is different, and decisions about implant monitoring and replacement should be made in collaboration with your trusted plastic surgeon.