How Long Do Breast Implants Last?

A Complete Guide for Patients

If you're considering breast augmentation or already have implants, one of the most common questions is: "How long will my breast implants last?" As a plastic surgeon, I want to provide you with clear, evidence-based information to help you make informed decisions about your breast health.

The Short Answer: 10-20 Years on Average

Breast implants are not lifetime devices. Most implants last between 10-20 years, it's important to understand that this doesn't mean automatic replacement – many modern implants can last significantly longer with proper care and monitoring. Older studies have shown that breast implants are generally durable for ~6–7 years, after which rupture risk begins to rise—one MRI study estimated ~11.8% ruptured by 13 years (Collis et al., PRS 2007)

But “how long they last” can’t be generalised: longevity varies by implant design/brand and surface, placement and technique, indication (augmentation vs reconstruction), and patient factors—so any single number is a simplification.

What Affects How Long Your Implants Last?

Type of Implant

Modern implants may offer improved longevity compared to older generations.

Your Individual Factors

Several personal factors can influence implant lifespan:

• Age at implantation – younger patients may need more replacements over their lifetime

• Body changes – pregnancy, weight fluctuations, and natural aging affect how implants look and feel

• Activity level – high-impact activities or trauma can potentially affect implant integrity

• Surgical technique – proper placement by an experienced surgeon improves long-term outcomes

Why Do Implants Need Replacement?

There are two main categories of reasons patients choose implant removal or replacement:

 Medical Reasons

• Capsular contracture– scar tissue that can make breasts feel firm or look distorted

• Implant rupture – though rare, both saline and silicone implants can develop leaks

• Infection – uncommon but requires implant removal if it occurs

• Implant malposition – when implants shift from their original position

Aesthetic Preferences

• Changes in size or shape preferences

• Natural aging of breast tissue

• Asymmetry that develops over time

• Desire to update to newer implant technology

Current Monitoring Guidelines

UK : Symptom based monitoring. Regular breast self-examination. Routine imaging is not required.

USA : The FDA recommends specific monitoring for silicone implants:

• First screening at 5-6 years after surgery

• Follow-up screening every 2-3 years thereafter

• Imaging options include MRI or ultrasound to detect silent ruptures

What Should You Watch For?

Between regular check-ups, be aware of these potential signs that warrant evaluation:

• Changes in breast shape, size, or feel

• Unusual pain or tenderness

• Hardening of the breast

• Rippling or visible implant edges

• Any new lumps or bumps

The Good News About Modern Implants

Recent studies show that approximately 80% of patients don't need revision surgery within the first 10 years. Modern breast implants are more durable and safer than ever before, with improved manufacturing standards and better surgical techniques.

Making the Decision: Remove, Replace or Monitor?

The decision to replace implants shouldn't be based solely on age. Instead, consider:

• How your implants look and feel – if you're happy and have no symptoms, replacement may not be necessary

• Your lifestyle and preferences – changes in activity level or aesthetic goals

• Professional assessment – regular examinations with your plastic surgeon

• Imaging results – if screening shows issues like rupture or significant capsular contracture

Breast Implant Replacement: What to Expect

if you do decide on replacement, the procedure is typically:

• Outpatient surgery performed under general anesthesia

• Similar recovery to your original surgery, though sometimes longer or quicker depending on additional procedures like capsulectomy

• Opportunity to make changes – different size, type, or placement if desired

• Updated techniques and implants – benefit from advances in surgical methods and newer implant technology

Breast Implant Removal

Planning for the Future

When considering breast augmentation, it's wise to:

• Budget for future procedures– factor potential replacement costs into long-term planning

• Do regular breast self-examination(see leaflet)

• Stay informed– keep up with any manufacturer recalls or safety updates

• Choose an experienced surgeon– proper technique from the start improves longevity

The Bottom Line

While breast implants aren't permanent, they can provide many years of satisfaction when properly monitored.

Remember, every patient is unique. What works for one person may not be the best approach for another. If you have questions about your specific situation, always consult with a plastic surgeon who is recognised on the GMC register, who can provide personalised recommendations based on your individual circumstances and goals.

This article is for educational purposes only and does not replace professional medical advice. Always consult with a qualified plastic surgeon for personalized recommendations about your breast implant care.