Breast augmentation has become a popular cosmetic procedure for women worldwide. They choose breast implants for various reasons, including enhancing their body image, correcting asymmetry, or restoring breast volume after pregnancy or weight loss. However, despite the advancements in implant technology and surgical techniques, one of the concerns that often arises among patients is the risk of implant rupture.

While modern breast implants are durable and long-lasting, the risk of rupture, although low, still exists. There are various ways to extend the life of your implants and minimize the risk of a rupture. Let’s explore the causes of breast implant rupture, how to lower your risk, and what to do if you suspect a rupture.

What Is a Breast Implant Rupture?

A rupture occurs when the outer shell of the breast implant tears or develops a hole, allowing the filling material to leak out. Depending on the type of implant you have—saline or silicone—the symptoms and consequences of a rupture may vary.

• Saline Implants: When a saline implant ruptures, the sterile saltwater solution leaks out quickly, and the breast deflates, making the rupture immediately noticeable. The body absorbs the saline naturally, and there is no risk to your health.
• Silicone Implants: Silicone implants are filled with a thick, cohesive gel that tends to stay in place, even if the implant ruptures. This type of rupture is often referred to as a “silent rupture” because there may not be any obvious symptoms.

While implant rupture is not typically dangerous, it can lead to aesthetic concerns, discomfort, and the need for surgical correction. Therefore, it’s essential to take proactive steps to reduce the risk of rupture and protect the longevity of your breast implants.

Common Causes of Breast Implant Rupture

To understand how to minimize your risk of rupture, it’s important to know the common causes. Here are some of the primary factors that can lead to breast implant rupture:

1. Aging Implants: Breast implants are not lifetime devices. Over time, the materials used in the implant’s shell can degrade, increasing the risk of rupture. Most implants last between 10 to 20 years, but this can vary depending on individual factors and the type of implant.
2. Trauma or Injury: Accidents, falls, or any significant trauma to the chest area can lead to a rupture. While implants are designed to withstand everyday activities, severe impact can damage the implant shell.
3. Capsular Contracture: This is a condition where the scar tissue that naturally forms around the implant tightens, causing the implant to harden. In severe cases, the pressure from the hardened capsule can lead to a rupture.
4. Implant Overfilling or Underfilling: Saline implants must be filled to a specific volume as recommended by the manufacturer. If the implant is overfilled or underfilled, it may weaken the shell and increase the risk of rupture over time.
5. Surgical Error: While rare, surgical mistakes during the initial breast augmentation or subsequent surgeries can compromise the integrity of the implant. This could include improper placement, excessive handling of the implant, or damage during the procedure.
6. Excessive Compression During Mammograms: While mammograms are an essential part of breast health, excessive compression can sometimes put undue pressure on the implants, leading to rupture. Always inform your radiologist that you have implants so they can adjust the technique accordingly.

Steps to Lower Your Risk for Breast Implant Rupture

Now that we’ve covered the common causes of implant rupture, let’s look at the steps you can take to minimize your risk and ensure your implants remain in good condition for as long as possible.

Choose High-Quality Implants

One of the most effective ways to reduce your risk of rupture is to choose high-quality implants from reputable manufacturers. The two main types of breast implants are saline and silicone, with silicone implants often being preferred for their more natural feel. However, within the category of silicone implants, there are variations, such as traditional silicone and cohesive gel (also known as “gummy bear” implants).

• Cohesive Gel Implants: These implants are made with a thicker silicone gel that maintains its shape even if the outer shell is damaged. They are less likely to leak or spread into surrounding tissues in the event of a rupture, which can make them a safer choice.

Dr. Ali Sajjadian offers only top-tier implant brands that have a proven track record of safety and durability. During your consultation, Dr. Sajjadian will help you select the best type of implant for your goals, lifestyle, and body type.

Follow Post-Operative Care Instructions

Following your breast augmentation surgery, Dr. Sajjadian will provide you with detailed post-operative care instructions. Adhering to these guidelines is crucial for minimizing complications, including the risk of implant rupture.

• Wear a Supportive Bra: A well-fitted, supportive bra can help reduce pressure on your implants, especially during exercise or strenuous activities. Avoid wearing bras that are too tight or that push the implants out of their natural position, as this can strain the implant shell.
• Avoid High-Impact Activities: While normal physical activities won’t harm your implants, high-impact sports or activities that put direct pressure on the chest may increase the risk of trauma. Be mindful of protecting your chest area during workouts, and consider wearing extra padding if necessary.
• Manage Swelling and Inflammation: Post-surgical swelling is common, but excessive swelling or inflammation can increase pressure on the implants. Follow your surgeon’s recommendations for managing swelling, which may include cold compresses, elevating the head during sleep, and taking anti-inflammatory medications.

Schedule Regular Check-Ups

Routine follow-up visits with your plastic surgeon are vital for monitoring the condition of your implants. Even if you feel perfectly fine and have no symptoms, regular check-ups can help detect early signs of complications, including silent ruptures in silicone implants.

• MRI or Ultrasound: For women with silicone implants, the FDA recommends getting an MRI or ultrasound to check for silent ruptures every 5-6 years after the initial surgery, and then every 2-3 years after that. These imaging tests are crucial because silent ruptures often go unnoticed without them.

Dr. Sajjadian will schedule follow-up appointments to ensure that your implants are functioning properly and to catch any potential issues before they become more significant problems.

Be Mindful of Physical Trauma

It’s essential to protect your chest from trauma that could potentially damage your implants. This doesn’t mean you need to avoid all physical activities, but it does mean taking extra precautions in situations where your chest could be impacted.

• Wear Protective Gear: If you participate in sports, especially contact sports, consider wearing protective gear to shield your implants. This can significantly reduce the risk of accidental trauma to your chest.
• Accidental Falls or Car Accidents: If you experience a significant impact to your chest from an accident, it’s important to monitor your implants for any changes. Schedule a check-up with your surgeon if you have concerns, as trauma can sometimes lead to implant rupture even if the outer shell doesn’t break immediately.

Choose an Experienced Surgeon

The skill and experience of your surgeon play a significant role in the long-term success of your breast augmentation. An experienced, board-certified surgeon like Dr. Ali Sajjadian, who has performed hundreds of breast augmentation procedures, knows how to properly handle and place the implants to minimize the risk of rupture.

• Proper Implant Placement: One of the factors that can affect the longevity of your implants is the placement. Implants can be placed above or below the pectoral muscle. Submuscular placement (below the muscle) can offer added protection against trauma and reduce the risk of capsular contracture, which may lead to rupture.
• Surgical Technique: Dr. Sajjadian uses advanced techniques to minimize trauma to the tissue during surgery, which not only reduces the risk of complications but also improves the overall results of the procedure. The less trauma there is during surgery, the lower the risk of complications like capsular contracture, which can contribute to rupture over time.

Know the Signs of a Potential Rupture

While some implant ruptures are asymptomatic, others present noticeable signs. Knowing what to look for can help you take prompt action and seek medical intervention if needed.

• Deflation of the breast, which will become noticeably smaller or misshapen.
• Changes in breast shape or size
• Hardening of the breast
• Lumps or irregularities
• Pain or discomfort

If you experience any of these symptoms, schedule an appointment with Dr. Sajjadian immediately for an evaluation.

What to Do if Your Implant Ruptures

If you suspect that your implant has ruptured, it’s essential to consult with your plastic surgeon as soon as possible. Dr. Sajjadian will perform a physical exam and may recommend imaging tests such as an MRI or ultrasound to confirm whether a rupture has occurred.

In the event of a confirmed rupture, the most common solution is to remove the damaged implant and replace it with a new one. The replacement surgery is typically less complex than the initial augmentation, and you can discuss your options with Dr. Sajjadian to ensure the best possible outcome.

Learn More

Breast implants are a long-term investment in your appearance and self-confidence. While the risk of rupture is relatively low, understanding the factors that can contribute to implant failure and taking proactive steps to minimize those risks is crucial. By choosing high-quality implants, following your surgeon’s care instructions, scheduling regular check-ups, and being mindful of trauma, you can significantly reduce the chances of experiencing a rupture.

At Sajjadian Plastic Surgery in Newport Beach, CA, Dr. Ali Sajjadian is committed to providing personalized, high-quality care to help you achieve your aesthetic goals safely. If you’re considering breast augmentation or need advice on maintaining your implants, schedule a consultation with Dr. Sajjadian today.

Schedule a Consultation

Ready to explore your breast augmentation options or need an implant check-up? Contact Dr. Ali Sajjadian’s office in Newport Beach to schedule your personalized consultation today. Call us at (949) 515-0550 or visit our website to learn more about breast implant safety and how we can help you achieve your desired look with confidence.