38 doctors weighed in:
How often do replace breast implants?
38 doctors weighed in

Dr. Jason Lichten
Surgery - Plastics
11 doctors agree
In brief: When needed
People have heard that you need to change the implants every 10 years.
In reality, you only need to change the implants if there is a problem. On average, about 1 in 5 women will have a second surgery on their breast implants within 10 years, whether saline or silicone. Silicone do last longer.

In brief: When needed
People have heard that you need to change the implants every 10 years.
In reality, you only need to change the implants if there is a problem. On average, about 1 in 5 women will have a second surgery on their breast implants within 10 years, whether saline or silicone. Silicone do last longer.
Dr. Jason Lichten
Dr. Jason Lichten
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Dr. Bryan McIntosh
Surgery - Plastics
6 doctors agree
In brief: As Needed
Breast implant failure is generally the most significant reason for their replacement.
Saline implant failure results in a breast with a sudden loss in volume and decrease in size. Silicone gel implant failure may have pain or no symptoms at all, and can be diagnosed with an mri. Otherwise, significant scarring around the implant causing breast deformity may require implant exchange.

In brief: As Needed
Breast implant failure is generally the most significant reason for their replacement.
Saline implant failure results in a breast with a sudden loss in volume and decrease in size. Silicone gel implant failure may have pain or no symptoms at all, and can be diagnosed with an mri. Otherwise, significant scarring around the implant causing breast deformity may require implant exchange.
Dr. Bryan McIntosh
Dr. Bryan McIntosh
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Dr. Todd Sisto
Breast Surgery
4 doctors agree
In brief: When the tread
Is less than 1/4 ".
Just kidding: they're not tires, but the answer is the same: not till they're worn out. If i'd said "every 5 yrs, " would you comply? 'course not. Having said that, saline implants often fail in about 10 yrs. I've not seen a single silicone device fail since the new tech became available on the study in 2000. All plastic surgeons began general use in 2006 & no bad that ive heard.

In brief: When the tread
Is less than 1/4 ".
Just kidding: they're not tires, but the answer is the same: not till they're worn out. If i'd said "every 5 yrs, " would you comply? 'course not. Having said that, saline implants often fail in about 10 yrs. I've not seen a single silicone device fail since the new tech became available on the study in 2000. All plastic surgeons began general use in 2006 & no bad that ive heard.
Dr. Todd Sisto
Dr. Todd Sisto
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Dr. Otto Placik
Surgery - Plastics
3 doctors agree
In brief: When indicated
Although there are many rumors on the internet to remove or change implants every 10 years, this is essentially a recommendation that is not based on any sound research, saline and silicone implants have different rupture rates.
Essentially i advise my patients to remove implants when indicated for: rupture, exposure, deflation, displacement, size change, contracture, pocket change, shape change, .

In brief: When indicated
Although there are many rumors on the internet to remove or change implants every 10 years, this is essentially a recommendation that is not based on any sound research, saline and silicone implants have different rupture rates.
Essentially i advise my patients to remove implants when indicated for: rupture, exposure, deflation, displacement, size change, contracture, pocket change, shape change, .
Dr. Otto Placik
Dr. Otto Placik
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Dr. Annette Occhialini
Surgery - Plastics
3 doctors agree
In brief: Only if problems
Most implants only require replacement if you are having a problem. This may mean a hardening of the feel of the breast, rupture, displacement.
If you have a concern you should consult a plastic surgeon who can examin and guide you.

In brief: Only if problems
Most implants only require replacement if you are having a problem. This may mean a hardening of the feel of the breast, rupture, displacement.
If you have a concern you should consult a plastic surgeon who can examin and guide you.
Dr. Annette Occhialini
Dr. Annette Occhialini
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Dr. Francisco Agullo
Surgery - Plastics
3 doctors agree
In brief: As needed
There is not an specific time frame to replace implants.
Reasons to replace would be rupture, leaking, capsular contracture, desire for size change.

In brief: As needed
There is not an specific time frame to replace implants.
Reasons to replace would be rupture, leaking, capsular contracture, desire for size change.
Dr. Francisco Agullo
Dr. Francisco Agullo
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Dr. Archibald Miller
Surgery - Plastics
2 doctors agree
In brief: Implant changes
The saline andgel implants have no specific ages that they rupture.
Implants for the most part break at "fold faults".These faults eventually result in a crack that results in leakage. Saline implants completely deflate, and the newest "gummy bear implants" gradually expose the capsular tissues to the very viscous materials inside them.

In brief: Implant changes
The saline andgel implants have no specific ages that they rupture.
Implants for the most part break at "fold faults".These faults eventually result in a crack that results in leakage. Saline implants completely deflate, and the newest "gummy bear implants" gradually expose the capsular tissues to the very viscous materials inside them.
Dr. Archibald Miller
Dr. Archibald Miller
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Dr. Carmen Kavali
Surgery - Plastics
2 doctors agree
In brief: No expiration date
Breast implants have an average life span of 12-ish years.
But if you are doing fine and having no problems, you may keep yours much longer. There is no set time for implant replacement, just when there is a problem.

In brief: No expiration date
Breast implants have an average life span of 12-ish years.
But if you are doing fine and having no problems, you may keep yours much longer. There is no set time for implant replacement, just when there is a problem.
Dr. Carmen Kavali
Dr. Carmen Kavali
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Dr. Alex Lechtman
Surgery - Plastics
2 doctors agree
In brief: When they break
In general, you replace them when they break.
The reps say they last about 13-15 years.

In brief: When they break
In general, you replace them when they break.
The reps say they last about 13-15 years.
Dr. Alex Lechtman
Dr. Alex Lechtman
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Dr. Marguerite Barnett
Surgery - Plastics
2 doctors agree
In brief: It depends
Implants rupture at different rates and no one has kept registries to follow which are more like to rupture or determine average lifespans.
Based on my thirty years' experience, gels rupture faster than salines. Generally by 15-20 years they are really leaky if not ruptured and gel ruptures can cause trouble so if you have gels, replace before then or sooner if you have any troubles.

In brief: It depends
Implants rupture at different rates and no one has kept registries to follow which are more like to rupture or determine average lifespans.
Based on my thirty years' experience, gels rupture faster than salines. Generally by 15-20 years they are really leaky if not ruptured and gel ruptures can cause trouble so if you have gels, replace before then or sooner if you have any troubles.
Dr. Marguerite Barnett
Dr. Marguerite Barnett
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Dr. Otto Placik
Surgery - Plastics
2 doctors agree
In brief: When needed
There is a popular internet "belief" that implants should be replaced every 10 years but his has no basis in scientific validity.
Saline & silicone implants have varying rupture rates cited from 3- 20% at 10 years. Gernerally my personal advice is to leave saline implants unless there is a reason to remove (rupture, exposure, contracture, size change or malposition). Silicone require MRI to assess.

In brief: When needed
There is a popular internet "belief" that implants should be replaced every 10 years but his has no basis in scientific validity.
Saline & silicone implants have varying rupture rates cited from 3- 20% at 10 years. Gernerally my personal advice is to leave saline implants unless there is a reason to remove (rupture, exposure, contracture, size change or malposition). Silicone require MRI to assess.
Dr. Otto Placik
Dr. Otto Placik
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Dr. Jeffrey Roth
Surgery - Plastics
1 doctor agrees
In brief: Depends
Implants are not forever devices.
Having said that, you don't have to take them out at ten years as was once more the norm. This came from the old silicone implants having a leak of 50% at ten years. The current leak rate is about 3 to 5% at ten years, (depending on who you read). Best to see your board certified plastic surgeon if you have any questions about your particular implants.

In brief: Depends
Implants are not forever devices.
Having said that, you don't have to take them out at ten years as was once more the norm. This came from the old silicone implants having a leak of 50% at ten years. The current leak rate is about 3 to 5% at ten years, (depending on who you read). Best to see your board certified plastic surgeon if you have any questions about your particular implants.
Dr. Jeffrey Roth
Dr. Jeffrey Roth
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Dr. Joseph Mele
Surgery - Plastics
1 doctor agrees
In brief: When the break
There is no arbitrary date when breast implants need to be changed.
The most common reasons for replacement include a desire to change size, leakage or severe capsular contracture. If there are no problems with your breast implants, and you are happy with the results, they do not need to be replaced. In other words: if it's not broken; dont fix it!

In brief: When the break
There is no arbitrary date when breast implants need to be changed.
The most common reasons for replacement include a desire to change size, leakage or severe capsular contracture. If there are no problems with your breast implants, and you are happy with the results, they do not need to be replaced. In other words: if it's not broken; dont fix it!
Dr. Joseph Mele
Dr. Joseph Mele
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Dr. Barry Handler
Surgery - Plastics
1 doctor agrees
In brief: When Needed
Agree with those who say replace implants when needed.
This usually means at the time of treatment for capsular contracture if the implants are old, at the time of deflation if the implants are saline or if a rupture is detected if the implants are silicone. Agree very few 20 yr old gel implants have intact shells. The fda official stance is that broken gel implants should be removed or replaced.

In brief: When Needed
Agree with those who say replace implants when needed.
This usually means at the time of treatment for capsular contracture if the implants are old, at the time of deflation if the implants are saline or if a rupture is detected if the implants are silicone. Agree very few 20 yr old gel implants have intact shells. The fda official stance is that broken gel implants should be removed or replaced.
Dr. Barry Handler
Dr. Barry Handler
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Dr. Jeremy White
Surgery - Plastics
In brief: If problems arise
Breast implants don't have a set time at which they must be replaced.
Problems can arise at times that require additional surgery, such as for capsular contracture and implant rupture. If there are no problems, the implants do not need to be changed.

In brief: If problems arise
Breast implants don't have a set time at which they must be replaced.
Problems can arise at times that require additional surgery, such as for capsular contracture and implant rupture. If there are no problems, the implants do not need to be changed.
Dr. Jeremy White
Dr. Jeremy White
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Dr. Matthew Goldschmidt
Surgery - Plastics
In brief: When needed
Most believe that saline implants will last 8-12 years before deflating and needing replacement.
However, if you are not having any problems or noticeable changes, replacement may not be necessary. Silicone gel implants may last longer and no long term data is available yet to determine how long they will last. You should always see your surgeon to insure that you receive the best information.

In brief: When needed
Most believe that saline implants will last 8-12 years before deflating and needing replacement.
However, if you are not having any problems or noticeable changes, replacement may not be necessary. Silicone gel implants may last longer and no long term data is available yet to determine how long they will last. You should always see your surgeon to insure that you receive the best information.
Dr. Matthew Goldschmidt
Dr. Matthew Goldschmidt
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Dr. Otto Placik
Surgery - Plastics
In brief: No routine time
There is no routine recommendation, genrally speaking implants should be removed when indicated for rupture, deflation, leakage, size change, capsular contracture, asymmetry, elective choice, pain, fibrosis, infection, ptosis, malposition, etc, etc, etc.

In brief: No routine time
There is no routine recommendation, genrally speaking implants should be removed when indicated for rupture, deflation, leakage, size change, capsular contracture, asymmetry, elective choice, pain, fibrosis, infection, ptosis, malposition, etc, etc, etc.
Dr. Otto Placik
Dr. Otto Placik
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