How Long Can Breast Implants Last?

For women in Toronto and globally, breast implants have become a popular choice for enhancing appearance, boosting confidence, or reconstructing breasts. Before undergoing breast augmentation, a key question that arises is: How long do breast implants last? Understanding the lifespan of breast implants, potential complications, and the necessity of replacements or removals is not just important, but crucial for anyone considering this cosmetic procedure.

In this blog, we will delve into how long breast implants can last, the factors that affect their longevity, and tips on ensuring your implants remain in good condition for as long as possible.

The Typical Lifespan of Breast Implants

The idea that breast implants last a lifetime is a common misconception. While they do not come with an official “expiration date,” breast implants are not designed to last forever. The average lifespan of breast implants—silicone or saline—is between 10 and 20 years. According to the American Society of Plastic Surgeons, most women will need to have their implants replaced or removed after about 10 to 15 years.

It’s important to note that the lifespan of breast implants is not a one-size-fits-all concept. Some women may go beyond the average 10-20 years without significant issues. The longevity of implants is influenced by factors such as the quality of the materials, how well the implants were placed, and how the body reacts to them over time.

Silicone vs. Saline Implants: What’s the Difference?

Breast implants come in two main types: silicone and saline. Both types have an outer silicone shell but are filled differently.

• Silicone Implants: Filled with a thick silicone gel, these implants are known for providing a more natural feel and appearance. However, silicone ruptures, called “silent ruptures,” are often more challenging to detect. An MRI is recommended every few years to ensure they remain intact.
• Saline Implants: These implants are filled with sterile salt water (saline), and ruptures are more accessible to spot because the implant will deflate, visibly affecting the size and shape of the breast. The body safely absorbs the saline solution when a rupture occurs.

Each type of implant offers different advantages, and your surgeon can help you decide which is better for you based on your lifestyle, aesthetic goals, and medical history.

Do Breast Implants Expire?

Technically, breast implants do not come with an expiration date like a carton of milk or a bottle of medication. However, they aren’t intended to last indefinitely either. On average, women will need to replace or remove their implants after 10 to 20 years, with about 20% of women undergoing revision surgery within the first ten years due to various reasons.

Implants may last longer than this, especially if no complications arise. However, regular check-ups are not just a precaution but a necessity for monitoring their condition. For those with silicone implants, the FDA recommends an MRI every 5 to 6 years to check for silent ruptures and other potential issues. Your health and well-being are our top priority.

Signs That Your Breast Implants Need Replacement

Breast implants can develop complications over time, which may prompt the need for removal or replacement. Here are some common signs to watch out for:

1. Rupture (Saline or Silicone)

• Saline Rupture: If a saline implant ruptures, the saline solution leaks, and the breast deflates almost immediately. The body absorbs the saline, but you will notice a significant change in the size and shape of the breast.
• Silicone Rupture: Silent ruptures occur with silicone implants because the thick gel often remains within the implant shell or surrounding scar tissue. Symptoms may include changes in breast shape, hardening, or discomfort. Routine MRIs can help detect these ruptures early.

2. Capsular Contracture

Capsular contracture occurs when the scar tissue around the implant tightens, causing the breast to feel stiff or appear misshapen. This complication can lead to pain or tenderness and may require surgical intervention.

3. Breast Hardening

Over time, scar tissue around the implant may harden, causing discomfort and making the breast feel unnaturally firm. This hardening often indicates the need for removal or replacement.

4. Implant Rippling

Rippling is when the implant develops wrinkles or folds that can sometimes be felt or seen through the skin. This is more common in women with thinner skin or less breast tissue and may necessitate a change in implant size or style.

5. Changes in Position

Gravity, aging, or weight fluctuations can cause implants to shift over time. If one breast appears lower or higher than the other, or if your nipples start pointing in different directions, it may be time for a revision procedure.

How Can You Extend the Life of Your Breast Implants?

While breast implants are not permanent devices, there are steps you can take to extend their lifespan and maintain a beautiful appearance:

• Choose the Right Surgeon: Selecting an experienced and skilled surgeon is the first and most crucial step in ensuring the longevity of your breast implants. An expertly performed procedure minimizes the risk of complications, such as improper implant placement or excessive scarring. With the right surgeon, you can feel confident and secure in your decision.
• Follow Post-Operative Care Instructions: Adhering to your surgeon’s post-surgery recommendations, such as wearing a support bra and avoiding strenuous activities, will reduce the risk of complications in the immediate recovery phase.
• Monitor Your Implants: Regular check-ups are not just a formality, but a proactive measure. For silicone implants, periodic MRIs are necessary to check for silent ruptures. Based on your case, your surgeon will advise on how often these exams should be performed. By staying informed and proactive, you can ensure the health and longevity of your implants.
• Maintain a Healthy Lifestyle: Keep a stable weight, avoid smoking, and practice good skin care habits. Significant weight fluctuations, smoking, and sun exposure can all affect the appearance and health of your breasts over time.

Breast Implant Replacement and Removal Options

When it comes time to remove or replace your breast implants, you have several options. Depending on your circumstances, your surgeon may recommend:

• Implant Replacement: Your implants can be replaced with new ones, whether due to rupture, size preference, or simply the natural aging of the implant.
• Breast Lift with Implant Replacement: As the skin naturally loses elasticity, some women may opt for a breast lift (mastopexy) alongside implant replacement to achieve a more youthful contour.
• Implant Removal Alone: Some women decide to have their implants removed entirely without replacement. Depending on individual circumstances, this may lead to some sagging or asymmetry, which can be addressed with a breast lift.

When Should You Consider Replacing Your Implants?

The timing of breast implant replacement is unique for each individual. Some women choose to replace their implants for cosmetic reasons, such as a desire for a larger or smaller size. In contrast, others do so because of complications like rupture or capsular contracture.

The key takeaway? It’s essential to monitor your breast implants regularly and consult with your surgeon if you notice any changes in appearance, feel, or sensation. Following routine check-ups and MRIs as recommended will help detect issues early and allow for timely intervention, preventing long-term complications.

Conclusion

While breast implants do not last a lifetime, they can provide long-lasting, satisfying results for many women. The typical lifespan of implants is between 10 to 20 years, and with regular care and monitoring, some women may even enjoy their results for longer. However, complications can arise, and women must remain vigilant, paying attention to signs indicating the need for replacement or removal.

If you’re a woman in Toronto considering breast augmentation or wondering how long your implants will last, Dr. Brett Beber is here to guide you every step of the way. Schedule a consultation today to discuss your options and learn more about ensuring the long-term health and appearance of your breast implants.