A breast implant rupture is not always obvious, and the signs can look different depending on whether you have saline or silicone implants. Knowing what changes to watch for and when to contact your plastic surgeon can help you get the right treatment at the right time.
Signs of a Saline Breast Implant Rupture
A saline breast implant rupture is usually noticeable quickly because the implant loses volume and the breast takes on a deflated appearance. Unlike silicone gel, the saline solution within the implant is safely absorbed by the body. The main sign is a visible change in breast size, shape, or symmetry.
Signs of a Silicone Breast Implant Rupture
The signs of a silicone breast implant rupture may include:
- Gradual changes in breast size or shape
- Firmness or hardening
- Pain or soreness
- A lumpy, rippled, or uneven feel or appearance
Unlike a saline implant rupture, a silicone rupture is often less obvious at first because the silicone gel may remain within the implant pocket or surrounding scar tissue. For that reason, silicone implant ruptures are often called “silent ruptures.”
Treatment Options for a Breast Implant Rupture
Once a rupture is confirmed using imaging such as ultrasound or an MRI, treatment usually involves surgically removing the affected implant and deciding whether to replace it, remove both implants, or combine implant removal with another procedure, such as a breast lift.
Option 1: Replace the Implant
A new implant can often be placed during the same procedure after the ruptured implant is removed. This is also a good time to discuss whether you want to keep the same implant type and size or make a change as part of your breast implant revision surgery.
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Option 2: Remove the Implants
Some patients choose to remove both implants instead of replacing them. If you choose this option, it is important to understand that your breasts may look different afterward due to stretched skin, volume loss, or sagging.
Depending on the size of your implants and how long you’ve had them, your surgeon may recommend a breast lift to remove excess skin and raise the breasts. This procedure is commonly performed at the same time as implant removal (or explant surgery).
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How Should Breast Implants Be Monitored Over Time?
Breast implants should be monitored through both self-awareness and regular follow-up with your plastic surgeon, with formal imaging recommended for patients with silicone implants.
For saline implants, monitoring usually means paying attention to visible changes in breast size, shape, or symmetry and scheduling an evaluation if something changes.
For silicone-gel-filled implants, the FDA recommends ultrasound or MRI screening starting 5 to 6 years after implantation, then every 2 to 3 years thereafter, even if you do not notice any obvious symptoms.
When Should Breast Implants Be Replaced?
Breast implants should be replaced when they rupture, cause symptoms, develop complications, or no longer match your goals. They are not considered lifetime devices, so even implants that are not causing obvious problems may eventually need to be removed or replaced over time.
While some implants last for many years (often 10 to 20 years), the risk of rupture and other concerns can increase as implants age. If your implants are older, feel different, or no longer give you the look you want, a consultation can help you determine the best next step.
Breast Implant Rupture FAQ
Is a ruptured breast implant dangerous?
A ruptured breast implant is not always an emergency, but it should be evaluated promptly. Silicone implant ruptures in particular may not be obvious right away, so imaging and consultation are often needed to confirm the problem and plan treatment.
Do ruptured breast implants need to be removed?
In many cases, yes. Once rupture is confirmed, the typical treatment is surgical removal of the affected implant, with the option to replace it, remove both implants, or combine removal with a breast lift, depending on your goals.
Will a ruptured implant always change the way my breast looks?
No, not always. A ruptured implant may change the way the breast looks, but that is not true in every case. Saline ruptures are more likely to cause a noticeable loss of volume, while silicone ruptures may be less obvious and sometimes do not cause visible changes right away.
When should I contact my plastic surgeon about a possible rupture?
As soon as you notice changes in how your breasts look or feel, or if imaging shows evidence of a leak.
Schedule a Consultation With Dr. Ortiz Today To Discuss Breast Implant Revision
If you suspect your breast implants have ruptured or you’re ready to make a change, board-certified plastic surgeon Dr. Juan Ortiz is here to help. To learn more, call us at 919-532-2270 or fill out the form below.
This blog post was originally published in July 2024 and has been updated for 2026.
