One of the most frequently asked questions regarding breast implants is: How long do breast implants last? For women considering breast augmentation, understanding the longevity of breast implants is critical to making an informed decision. While breast implants are designed to last for many years, their lifespan is influenced by various factors, including the type of implant used, the technique of implantation, and individual body factors.

In this blog, we will discuss the lifespan of breast implants, the various types of implants available, common breast implant complications, and when you may need to consider implant replacement or breast implant removal. We will also touch on how to ensure the long-term health of your implants and what to expect in terms of breast implant surgery aftercare.

What Affects How Long Breast Implants Last?

While the average lifespan of breast implants is between 10 and 15 years, many women report keeping their implants for much longer without complications. However, breast implants do not last indefinitely, and several factors can influence how long they remain in good condition:

1. Type of Breast Implant
   The type of implant technology used significantly affects the longevity of your implants. There are two primary types of breast implants: saline implants and silicone implants.
   • Saline Implants: These are filled with a sterile saline solution. If a saline implant ruptures, the body absorbs the saline, and the implant deflates, which is easily noticeable. While saline implants tend to last a long time, they may not maintain their shape as well as silicone implants over time.
   • Silicone Implants: These are filled with a gel-like substance called silicone gel. Silicone implants are known for their ability to maintain their shape and feel more like natural breast tissue. However, silicone implant ruptures can be more difficult to detect because they tend to leak slowly and cause what is known as a silent rupture.
2. Capsular Contracture and Scar Tissue
   Capsular contracture occurs when the body forms excess scar tissue around the implant, causing the breast to become hard and possibly deformed. This common complication can affect both saline and silicone implants and may require implant removal or replacement. Hardened scar tissue can cause discomfort and affect the breast shape, so it’s essential to monitor your breasts for any signs of breast hardening or changes in shape.
3. Implant Position and Size
   The position and size of the implant can also influence its longevity. Implants placed under the chest muscles tend to have a lower risk of complications like implant rupture than those placed over the muscles. Additionally, larger implants may be more prone to complications such as breast sagging, while smaller implants may last longer.
4. Age of Implants
   As with any medical device, breast implants may deteriorate over time. Implant ruptures or other complications can occur as the implant ages. Implant replacement or breast implant surgery may be necessary if the implant becomes damaged after a prolonged period.
5. Lifestyle and Body Changes
   Factors such as weight gain, weight loss, and pregnancy can affect the condition of your breast tissue and cause changes in your breast shape. For example, if the surrounding breast tissue becomes thinner due to weight loss or aging, the implants may shift, causing discomfort or the need for revision surgery.
6. Breast Implant Complications
   Breast implant complications can include silicone rupture, saline leaks, infection, and breast pain. These complications can shorten the lifespan of your implants and require revision surgery. While breast augmentation surgery generally has a high success rate, it’s important to be aware of potential issues.

Common Reasons for Breast Implant Removal or Replacement

While breast implants are designed to last many years, there are several reasons you may need to consider breast implant removal or implant replacement:

1. Implant Rupture

Both silicone and saline implants can rupture. When a saline implant ruptures, it deflates, and the body naturally absorbs the saline solution. However, with silicone implants, a silent rupture can occur where the silicone leaks out slowly, and there may be no immediate symptoms. In either case, implant replacement is required if the implant ruptures.

2. Capsular Contracture

Capsular contracture occurs when the body forms too much scar tissue around the implant, causing it to harden and affect the breast shape. This condition can result in pain and discomfort and can lead to the need for implant removal or implant replacement. The scar tissue may sometimes be surgically removed, but it often requires new implants.

3. Breast Hardening

If the implant becomes hard and the surrounding tissue feels firm, it may indicate capsular contracture. This condition can cause breast pain and breast sagging, and may require a breast lift or implant removal.

4. Aesthetic Changes

Over time, breast tissue can change due to aging, weight fluctuations, or hormonal changes. These changes may affect how the implants sit within the breast tissue, leading to breast sagging or shifting of the implants. In some cases, women may choose to undergo breast implant removal or replacement to achieve the desired appearance.

5. Infection or Other Complications

Although rare, breast implant infections can occur. Signs of infection include redness, pain, and swelling around the implant site. If an infection is not treated promptly, it may result in the need for implant removal and further treatment.

6. Personal Preferences

Some women may decide to have their implants removed or replaced for personal reasons, such as changes in body image or lifestyle. For instance, a woman who had larger implants may opt for smaller implants or a breast lift instead. Discussing these changes with a board-certified plastic surgeon is essential to ensure that the procedure aligns with your goals.

How to Maintain the Longevity of Breast Implants

Ensuring the longevity of your breast implants involves proactive care, regular check-ups, and maintaining a healthy lifestyle. While breast implants are designed to be durable and long-lasting, several factors can influence their lifespan, such as the type of implants, the technique used in breast augmentation surgery, and how well you take care of your implants post-surgery. Here are some comprehensive tips on how to maintain the longevity of your breast implants:

1. Regular Check-ups and Monitoring

One of the most important steps in maintaining the longevity of your breast implants is scheduling regular check-ups with your plastic surgeon. These check-ups allow your surgeon to assess the condition of your implants and monitor for any potential complications such as implant rupture, capsular contracture, or changes in the breast tissue. Early detection of issues can help address problems before they become more serious.

For women with silicone implants, it’s particularly important to undergo regular MRI scans. The American Food and Drug Administration (FDA) recommends that women with silicone implants get an MRI every 3 years after surgery and every 2 years thereafter. These scans are important because silent ruptures of silicone implants are often asymptomatic, meaning they can go undetected without imaging. Regular check-ups can also help you keep track of implant positioning and any changes in breast shape or size.

2. Follow Aftercare Instructions Post-Surgery

Proper care immediately after your breast augmentation surgery is essential to the long-term health of your implants. Your surgeon will provide specific post-operative instructions that are tailored to your situation. These instructions typically include:

• Limiting physical activity: After breast implant surgery, avoid heavy lifting or strenuous exercises for several weeks to allow the breast tissue to heal and prevent unnecessary stress on the implants.
• Wearing a supportive bra: After surgery, a surgical or post-surgical bra is often recommended to support the implants as they settle into place. A well-fitted bra provides the support your breast tissue needs during the healing process and helps maintain the position of the implants.
• Avoiding direct pressure: For a period following surgery, avoid sleeping on your stomach or placing pressure on your breasts, as this could shift the implants or cause discomfort.
• Scar care: If your surgery involves incisions, your surgeon may recommend using specific creams or ointments to minimize scarring and promote healing. Proper scar tissue management can improve your breast’s appearance and reduce the risk of complications like capsular contracture.

Following these instructions gives your implants the best chance of staying in optimal condition for many years.

3. Choose the Right Implant Size and Placement

Choosing the right implant size and placement is a key factor in ensuring the longevity of your breast implants. Before choosing your implants, it’s important to have a thorough discussion with your plastic surgeon about your aesthetic goals, body type, and any underlying health concerns. Some women may choose larger implants to achieve more volume, while others prefer a more subtle, natural enhancement.

In addition to size, the placement of the implants is an important consideration:

• Submuscular placement: Implants under the chest muscles generally have a lower risk of complications such as capsular contracture and may provide a more natural look. This placement can help maintain the implant’s position for a longer period and protect the implant from external forces.
• Subglandular placement: Implants placed above the muscles and under the breast tissue can be more visible and might be more prone to complications like breast sagging over time, particularly if the implants are large.

Your surgeon will evaluate your body and lifestyle to recommend optimal placement and implant size.

4. Maintain a Healthy Lifestyle and Weight

Maintaining a healthy weight and avoiding drastic fluctuations is crucial in preserving the appearance and position of your breast implants. Significant weight gain or loss can alter the breast tissue surrounding the implants, potentially causing changes in breast shape or breast sagging. For example:

• Weight loss: As you lose weight, your skin and breast tissue may become thinner and lose elasticity. This can cause the implants to shift or become more prominent under the skin, leading to potential aesthetic concerns or discomfort.
• Weight gain: Excess weight gain can affect the overall appearance of your breasts, including how the implants sit in the tissue. Weight gain may cause breast tissue to stretch, affecting your breasts’ natural look and feel.

A healthy diet and regular exercise help maintain your breast tissue and help you feel more confident and keep your implants in the best shape possible. Furthermore, staying active helps with overall body health and reduces the risk of conditions such as breast cancer, which is important for maintaining overall breast health.

5. Monitor for Signs of Complications

Even with proper care, breast implants can develop complications over time. Some common signs to look out for include:

• Changes in breast shape or size: If you notice that one or both implants have shifted, or if your breasts start to look or feel asymmetrical, it may indicate that the implants need adjustment or replacement.
• Hardening or pain: If your breasts feel hard, firm, or painful, this may indicate capsular contracture. In this condition, the body forms excessive scar tissue around the implant, making it feel uncomfortable or unnatural. Surgical interventions can manage capsular contracture, but early detection can prevent further complications.
• Swelling or bruising: If you experience unexpected swelling or bruising around the implant, it could indicate an infection, a ruptured implant, or a shift in position. A plastic surgeon should address these signs promptly.
• Breast pain: Persistent or severe breast pain that is not related to menstruation or typical changes should be evaluated by a medical professional to rule out any underlying issues with your implants.

When to Seek Medical Attention

If you experience breast pain, swelling, changes in breast shape, or signs of infection, contact your surgeon immediately. Silent rupture, capsular contracture, or implant shifting can be addressed promptly with implant removal or revision surgery. Regular check-ups and maintaining proper care can help minimize the risk of complications.

Conclusion

Breast implants are designed to last many years, with an average lifespan of 10 to 15 years. However, their longevity can be influenced by implant type, placement, lifestyle, and complications like capsular contracture or implant rupture. Regular monitoring and proper care can help extend the lifespan of your implants, and if complications arise, options like implant replacement or breast implant removal are available.

By working with a board-certified plastic surgeon, you can make informed decisions about your breast augmentation and ensure that your implants last as long as possible while maintaining breast health and achieving your aesthetic goals.

References

https://www.healthline.com/health/how-long-do-implants-last

https://www.plasticsurgery.org/news/blog/will-your-breast-implants-last-a-lifetime#:~:text=On%20average%2C%20today’s%20implants%20are,for%2020%20years%20or%20more.

https://pubmed.ncbi.nlm.nih.gov/9869129/