Why Ongoing Monitoring Matters
Breast implants are not lifetime devices. Although many patients do very well for years, changes can occur over time. Regular monitoring helps detect potential issues early and maintain the best possible long-term results.
Possible implant-related concerns include:
- Capsular contracture (tight scar tissue around the implant)
- Implant rupture
- Implant displacement (shifting out of position)
Even if you feel well and have no symptoms, routine check-ups are important.
How Often Should I See My Surgeon?
All patients with breast implants should have:
- An annual physical exam with their plastic surgeon
For patients with silicone implants, the U.S. Food and Drug Administration (FDA) recommends:
- An MRI or ultrasound starting 5–6 years after implant placement
- Repeat imaging every 2–3 years after that
These imaging studies help detect “silent ruptures,” which may not cause noticeable symptoms.
When Should I Call My Surgeon?
Contact your plastic surgeon if you notice:
- A change in breast shape
- New pain or discomfort
- Increased firmness
- Swelling
- Visible shifting of the implant
Your surgeon may recommend imaging tests to evaluate the implant and determine whether any treatment is needed.
A Rare but Important Condition: BIA-ALCL
There is a very rare cancer associated with breast implants called Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).
This condition is most commonly associated with textured implants. It typically presents many years after implantation and often appears as:
- Sudden swelling of the breast
- A large fluid collection around the implant
If you experience new swelling or changes that concern you, contact your plastic surgeon promptly for evaluation. Additional testing can determine whether further treatment is needed.
Regular follow-up and open communication with your plastic surgeon are the best ways to protect your health and maintain your reconstruction over time.