Do breast implants need to be replaced every 10 years?

Patients occasionally present to my office stating they are 10 years since breast augmentation and need to have their implants replaced.  I have also had patients express one of their biggest concerns with getting breast implants is the cost of implant replacement every 10 years.

I am not sure where this urban myth started or how it has perpetuated.   I would put this one in the category of “toads causing warts”.

If it isn’t broke, don’t fix it.

With saline implants it is easy to know that the implant has failed, it simply goes flat.  This is more difficult with silicone implants which is where the FDA’s current MRI recommendations stem from.

There are certainly times when breast implants need to be replaced.  Deflation, rupture, significant capsular contracture or dissatisfaction with size.  Time (10 years) is not one of those reasons.

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