What Happens if My Breast Implants Leak or Rupture?

Today’s breast implants are built to be more durable and longer-lasting than ever before, but devices can still be susceptible to wear. A breast implant rupture can happen for different reasons, and knowing what to expect helps you make informed choices about your procedure. At The Gillian Institute in Indianapolis, we believe patients should have a clear understanding of the risks, signs, and next steps if an implant leak or rupture occurs. We will discuss how to identify potential signs of rupture, what steps to take if it happens, and how to prepare for possible implant replacement or revision.

Implant Types and How They React to Rupture

Saline Implants

Saline implants contain a sterile saltwater solution inside a silicone shell. When a rupture occurs, the body absorbs the fluid, causing the breast to deflate relatively quickly. Because the change in size and shape happens within days, it is usually obvious that the implant has leaked, and replacement surgery can be scheduled right away.

Silicone Gel Implants

Silicone implants are filled with a cohesive gel that holds its shape more firmly than saline. When one ruptures, the gel often stays within the surrounding tissue or inside the shell, so the change may not be visible right away. There may be no other symptoms or signs that it has ruptured, like pain or a change in breast shape, so this type of leak is often called a silent rupture. Often, this type is only visible through imaging.

Structured Saline and Gummy Bear Implants

Structured saline implants combine the fluid filling of saline with an internal structure that gives a more natural feel and appearance. If they leak, the outcome will be similar to a standard saline rupture but with a less dramatic collapse. Gummy bear implants use a highly cohesive silicone gel that keeps its shape even if the shell breaks. Many cases of gummy bear implant rupture are silent.

Common Causes and Risk Factors for Rupture

A breast implant can rupture for several reasons, including natural aging of the implant shell, impact from trauma, or complications during surgery. Excessive pressure during a mammogram or damage from surgical instruments can also cause small tears that gradually weaken the shell. Some ruptures occur because the implant’s outer layer becomes thinner with time, while others result from manufacturing defects or capsular contracture, where scar tissue tightens around the implant.

Typical Longevity of Breast Implants

Most modern breast implants are made to last for many years, but they are not permanent medical devices. Saline implants typically last about 10 to 15 years, while silicone gel implants often remain intact a bit longer due to their cohesive texture. Rupture is not the only reason that implants may be replaced. Replacement may be considered when shape, comfort, or imaging results indicate that the implant’s integrity has changed, or if there is rippling, capsular contracture, or changes in aesthetic preferences.

Monitoring and Detecting a Rupture

For Saline Implants

A saline implant rupture is usually noticeable because the breast begins to deflate as the saline solution is absorbed by the body. You may notice your breast looks and feels smaller or softer, with a clear difference in size compared to the other side. While the saline fluid is not usually a health risk, prompt evaluation is still important to confirm the rupture and discuss replacement options. Early detection allows for a faster restoration of symmetry and comfort.

For Silicone Implants

Because silicone ruptures are often silent, the best way to monitor and detect ruptures is to schedule regular imaging. The FDA recommends that monitoring with ultrasound or an MRI start no more than five to six years after the implants are inserted. After this, you should schedule imaging every two to three years.

When to Contact a Surgeon

Schedule a consultation as soon as you notice any changes in the size, texture, or sensation of your breasts. Even if you aren’t very uncomfortable, a medical evaluation helps determine whether the implant is intact and whether corrective surgery may be recommended. Surgeons can review your imaging results, discuss replacement options, and guide you through the next steps.

What to Do if Your Implant Ruptures

Step One: Get Evaluated

The first step after suspecting a rupture is to schedule an evaluation with a board-certified plastic surgeon. The appointment often includes a physical examination and imaging, such as an ultrasound or MRI, to confirm whether the implant shell has been compromised. The surgeon will also review your medical history, discuss any recent trauma or symptoms, and assess the surrounding breast tissue for changes.

Step Two: Discuss Treatment Options

Once a rupture is confirmed, the surgeon will explain the available treatment approaches based on your implant type, cosmetic goals, and tissue condition. Replacement, removal, or revision may be recommended depending on whether the implant is saline or silicone. It is important to have an open discussion about your comfort level, expectations, and recovery timeline.

Treatment and Surgical Options After Breast Implant Rupture

Implant Removal

Implant removal involves taking out the damaged implant and, if necessary, the surrounding capsule of scar tissue. The surgeon carefully examines the area to confirm that all material has been cleared, especially if silicone gel was present. Some patients choose to remain without implants after removal, while others choose to exchange the implant for a new one.

Implant Removal With Breast Lift

When implants are removed, the natural breast tissue may look deflated or sag due to stretched skin. Combining implant removal with a breast lift allows the surgeon to reshape and tighten the tissue. A breast lift can be considered with or without the insertion of a new implant.

Implant Replacement or Revision Surgery

Implant replacement is an option for those who want to maintain their augmented appearance after a rupture. During revision surgery, the surgeon can insert new implants, adjust pocket placement, or change implant type or size based on current preferences. Breast augmentation revision can also be an opportunity to switch to a different implant material.

Stay Informed About Implant Health With an Appointment in Indianapolis, IN

At The Gillian Institute, Dr. Kimberly Short combines surgical precision with a focus on balanced, natural-looking outcomes. Each breast implant procedure is performed in a private, AAAASF-accredited facility designed for safety, comfort, and individualized care. As a practice built on education and collaboration, we help you make informed choices about your breast health and aesthetic goals.

If you suspect an implant rupture or have questions about your options, call (317) 913-3260 or contact us through our online form to schedule your consultation.