How Long Do Breast Implants Really Last?

A Surgeon’s Complete Timeline and Replacement Guide

Breast implants are designed to be long-lasting, but they aren’t lifetime devices. Whether you’ve recently had breast augmentation or are considering breast implant replacement, you might wonder: How long do breast implants really last?

While there’s no official expiration date, most saline and silicone implants last 10 to 20 years before requiring implant replacement or implant removal. However, some patients keep theirs much longer without issues, while others may need revision surgery sooner due to changes in their bodies or implant complications.

So, how do you know when it’s time for breast implant replacement? And what should you expect if you need surgery? Let’s break it all down.

How Long Do Breast Implants Last?

The average lifespan of breast implants varies, but here’s a general timeline:

• 10-15 years: Most breast implants remain intact and complication-free.
• 15-20 years: There’s an increased chance of implant ruptures or hardened scar tissue forming around the implant.
• 20+ years: Many patients begin considering implant replacement due to age-related changes, breast size shifts, or simply wanting a refresh.

Factors That Affect Longevity

• Implant type: Saline implants tend to last slightly less time than silicone implants due to the risk of saline leaks.
• Body changes: Weight gain, pregnancy, and aging can affect how implants look over time.
• Surgical technique: Proper placement and smaller incisions can help extend implant lifespan.
• Quality care: If you notice any changes to shape, size, or position or experience any pain follow up with your plastic surgeon to address issues early.
• Complicating conditions: Conditions like BIA-ALCL and BII have been reported in some cases and may prompt implant removal.

Signs It’s Time to Replace Your Breast Implants

Many people assume they need to replace their implants every 10 years. That’s actually a myth—if your breast implants last without issues, you don’t need surgery. However, there are some potential complications that may require implant replacement.

Common Reasons for Breast Implant Replacement

• Capsular Contracture: This occurs when surrounding scar tissue hardens around the implant, causing breast hardening, discomfort, or an uneven appearance.
• Implant Ruptures:
  • Saline Implant Ruptures: A leak causes the affected breast to deflate noticeably.
  • Silicone Implant Ruptures (Silent Rupture): Since silicone gel leaks slowly, you may not notice a rupture without an MRI.
• Breast Shape or Position Changes: Over time, one breast may appear different, or the breast hangs lower due to natural aging.
• Pain or Discomfort: If you experience tightness, soreness, or unexplained pain, you should see a surgeon.
• Desire for a Different Look: Some patients switch to smaller implants, a different implant size, or combine implant replacement with a breast lift.

Do You Have to Replace Implants Every 10 Years?

Not necessarily. Breast implants can last well over a decade without problems. 

When to Get Checked:

• For Silicone Implants: The FDA recommends an MRI or ultrasound every 5-10 years to check for a silent rupture.
• For Saline Implants: If you notice a sudden loss of volume, schedule an appointment to check for saline leaks.

What Happens During Breast Implant Replacement Surgery?

If you need implant replacement, the surgery is often easier than your original breast augmentation.

Types of Breast Implant Revision Surgery

• Simple Implant Replacement: Old implants are removed, and new ones are placed in the same pocket.
• Implant Revision: Adjustments are made to the implant pocket, implant size, or surrounding tissue.
• Implant Removal Without Replacement: Some patients choose to have their implants removed completely, sometimes combined with a breast lift.

Recovery Period

Most patients experience a shorter recovery period compared to their first surgery, with most major swelling and discomfort lasting about 1-2 weeks and full recovery taking about 4-6 weeks. Proper care and quality care from a board-certified surgeon can help prevent infection and ensure smooth healing.

How to Extend the Life of Your Breast Implants

Want your breast implants to last as long as possible? Here’s how:

✅ Wear Proper Support: A good bra prevents excessive movement and sagging.
✅ Maintain a Stable Weight: Extreme changes in weight can stretch the skin and affect implant positioning.
✅ Monitor for Symptoms: If you notice breast hardening, a silicone rupture, or your nipples point differently, get evaluated.

Conclusion: Should You Replace Your Breast Implants?

The how long do breast implants last question doesn’t have a one-size-fits-all answer. While most implants last 10 to 20 years, some last much longer without problems. The key is proper care, regular checkups, and paying attention to your body.

If you’re experiencing pain, implant ruptures, hardened scar tissue, or an uneven appearance, it may be time to discuss implant removal or implant replacement with a plastic surgeon.

Ready for an expert opinion? Schedule a consultation with Dr. David Passaretti to explore your options for breast implant replacement or revision surgery.