How Often Should My Breast Implants Be Checked?

Keeping breast implants in good health is essential for anyone who has undergone breast augmentation. Regular check-ups allow you to stay informed about the condition of your implants and monitor your breast tissue for any changes. These routine assessments not only offer peace of mind but can also help prevent potential issues before they escalate, ensuring your safety and comfort.

Breast implant checks are important for everyone, regardless of whether you have saline or silicone implants, as both types can experience changes over time. By understanding how often these checks should be scheduled and knowing what to look out for in between appointments, you can help make sure that you're keeping on top of your breast implant health.

Why regular breast implant checks are important

While breast implants are designed to be durable, they are not intended to last a lifetime and can be subject to wear over time. Regular checks help identify any changes in the implants or surrounding breast tissue early on, allowing for timely intervention if needed.

One of the primary concerns that regular checks can help manage is the risk of implant complications, such as a rupture or leak. Silicone implants, for example, can sometimes experience a "silent rupture," where the implant shell breaks but the silicone gel remains contained within the capsule around the implant. In many cases, silent ruptures are not immediately noticeable, which is why regular check-ups are essential.

Another common issue is capsular contracture, where scar tissue forms around the implant, potentially leading to pain or changes in the breast’s appearance. This can occur at any point after breast implant surgery and may progressively worsen if left untreated. Routine assessments give healthcare providers the opportunity to catch early signs of capsular contracture and recommend treatment options before it significantly impacts your comfort or aesthetic outcomes.

Additionally, regular check-ups can help in monitoring for symptoms of breast implant illness (BII), a term used to describe a range of symptoms that some people attribute to their breast implants. Though BII is still being researched, common symptoms may include fatigue, joint pain and headaches. If you notice any such symptoms, an evaluation can determine whether further investigation or possible breast implant removal is advisable.

Recommended frequency for breast implant checks

The recommended frequency for breast implant check-ups varies based on factors like the type of implant, your personal health history and how long it has been since your breast augmentation surgery. While each person’s needs are unique, general guidelines can help establish a timeline for these important assessments.

For those with silicone implants, healthcare providers often recommend an initial MRI scan three years after surgery and then follow-up scans every two years. This is because silicone implants, unlike saline implants, can experience silent ruptures that may not be immediately apparent. MRIs are effective in detecting these ruptures, as well as any changes in the surrounding breast tissue that may indicate early complications. Regular imaging can provide valuable insights into the condition of silicone implants and catch potential issues early.

If you have saline implants, the recommended check-up frequency may differ slightly. Saline implants generally deflate visibly if they rupture, as the saline solution is safely absorbed by the body. This makes ruptures more noticeable without imaging. However, it's still advisable to have a clinical check-up every few years to check that the implants and surrounding tissue remain healthy. This routine assessment may involve a physical examination and, if needed, an ultrasound for a more detailed look.

Regardless of implant type, your surgeon may suggest more frequent check-ups if you have experienced any previous complications or if you notice changes in the appearance or feel of your implants. For instance, if you experience discomfort, tightness or visible changes, an evaluation could help identify potential issues like capsular contracture or scar tissue development.

In addition to routine check-ups, it’s essential to stay mindful of changes in your overall breast health, especially as you age. Hormonal changes, fluctuations in body weight, or other health conditions can impact breast tissue and potentially affect the surrounding implants. Keeping up with regular mammograms and other recommended breast screenings can complement your implant check-ups, providing a full picture of your breast health.

Signs to watch for between check-ups

Between scheduled check-ups, staying alert to any changes in your breast implants or breast tissue can help you catch potential issues early. Being aware of warning signs that may indicate a problem with your implants can make all the difference in managing your health.

Some common symptoms that warrant attention include:

• Changes in breast shape or size: if you notice any changes in the shape, size or symmetry of your breasts, this could be a sign of an implant issue. Changes like these might indicate a rupture, leakage or shifting of the implant within the breast pocket, particularly in cases involving saline implants, where deflation can occur visibly.

• Pain or discomfort: persistent pain, tenderness or a feeling of tightness in your breasts may suggest complications such as capsular contracture, where scar tissue forms around the implant and hardens. This can impact the shape and feel of the breast and may require further evaluation by a professional.

• Changes in skin texture or sensitivity: skin redness, swelling or changes in sensitivity around the breast area can indicate an inflammatory response. These symptoms could be a sign of infection or a possible complication related to the implants, particularly if the symptoms persist or worsen over time.

• Unusual symptoms affecting overall health: symptoms commonly associated with BII - such as fatigue, joint pain, headaches or rashes - may emerge months or even years after your breast implant surgery. While more research is needed on BII, many people report improvements after consulting a specialist and, in some cases, considering implant removal.

If you notice any of these changes or other unusual symptoms, it’s best to contact your surgeon or healthcare provider sooner rather than later. An early assessment can provide reassurance or lead to prompt treatment, helping you avoid potential complications.

What happens during a breast implant check-up

During a breast implant check-up, your healthcare provider will perform a series of evaluations to check the condition of your implants and surrounding breast tissue. Understanding what to expect at these appointments can help you feel more comfortable and informed as you prioritise your breast health.

A typical breast implant check-up includes:

• Physical examination: your doctor will start by examining the appearance and feel of the implants and the surrounding breast tissue. This involves assessing for any lumps, unusual textures or asymmetries that might indicate complications like capsular contracture or scar tissue formation. Your doctor will also check for signs of implant shifting, which can affect the shape and position of your breasts.

• Imaging tests: depending on the type of implant you have and the time since your last imaging test, your doctor may recommend an MRI or ultrasound. For silicone implants, MRIs are especially useful in detecting silent ruptures that aren’t always visible or immediately symptomatic. Ultrasound can be a helpful alternative for certain cases, offering clear imaging to assess both saline and silicone implants for any irregularities.

• Breast tissue health assessment: in addition to examining the implants, your provider will also assess your natural breast tissue. This includes checking for any changes in tissue density or texture, as well as evaluating overall breast health. These checks are particularly important as they help rule out any unrelated issues, like the development of benign or malignant growths, providing a comprehensive review of your breast health.

These appointments allow your healthcare provider to identify and address any concerns early on. If any issues are detected, such as signs of a rupture or problematic scar tissue, they may recommend further tests or discuss treatment options with you. 

When to consider breast implant removal or replacement

While many people enjoy long-term results from their breast implants, there may come a time when implant removal or replacement is advisable. Deciding to remove or replace your implants can depend on various factors, such as personal preferences, health changes or specific issues that arise with the implants over time. Understanding when to consider these options can help you make an informed choice that prioritises both your aesthetic goals and overall health.

When considering removal or replacement, it’s important to consult with a qualified cosmetic surgeon to explore your options. In some cases, replacement may involve choosing a different type or size of implant, while in others, people prefer to return to a natural breast appearance by opting for removal without replacement.

Contact us

If you have experienced problems following breast surgery and think they are the result of negligence, talk to our expert cosmetic surgery negligence team today. Call 0808 256 1267, or request a callback by completing the online enquiry form.