2012 marks the 50th birthday of the first successful breast augmentation, but how long does the average implant last? Timmie Jean Lindsey, the Texas woman who had that landmark surgery 50 years ago, still has the original breast implants that were experimentally placed in 1962. However, for the majority of women who choose to have breast enhancement, implants won’t last nearly that long. The lifespan of a breast implant may range from a few years to a few decades. According to the U.S. Food and Drug Administration (FDA), women who have breast augmentation should assume that they’ll need to have the implants replaced at some point.
So how do breast implants break? Some of these products are defective from the beginning, while others disintegrate naturally over time. Capsular contracture, or the formation of scar tissue around an implant, may squeeze the shell and cause it to leak. Physical trauma that involves a blow to the chest, like a car accident, may cause implants to rupture. The pressure applied to breasts during a mammogram may also cause damage. When you consider the effects of time, trauma and natural wear and tear, there’s no way to predict the longevity of a breast implant with 100% certainty.
When saline implants break, the results are usually apparent immediately. Leaking saline is absorbed quickly by the body’s tissues, leaving an obvious asymmetry. Detecting a break in a silicone implant isn’t as easy, because the material that fills the implant leaks much more slowly and tends to remain in the capsule created by the plastic surgeon. The American Society for Plastic Surgeons recommends that plastic surgeons follow up with all of their breast augmentation patients every three to five years, whether or not they have signs or symptoms of implant rupture. After 10 years and for every five years thereafter, the ASPS advises that women with silicone implants have an MRI (magnetic resonance imaging) to detect possible signs of leakage.
Even if you’re perfectly happy with your breast implants, it’s important to stay in touch with your plastic surgeon and keep your post-operative appointments. If you notice any changes in the shape or size of your breasts, call your surgeon to schedule an evaluation.


