When should you replace old breast implants?

I got breast implants 20 years ago and am thinking about getting them replaced. What types of signs should I be looking for in order to tell that I need to get them refreshed? I feel healthy and my breasts feel ok. They sure aren’t as perky as they used to be but hey, who’s are, right?


F, 51, Utah


Hello, There are two types of implants you could have as far as referring to the filler material of the implant: saline or silicone. On average the life expectancy of both implants is 10-15 years. If you have saline implants and the implant is soft and you are happy with the way your breasts look, you only have to replace them if there is a deflation. If you have a deflation you would experience the deflated breast looking much smaller than the non-deflated breast. If you have a silicone implant you should get an imaging test of your breasts (MRI or high resolution ultrasound) to see if the implants have ruptured. If so, replacement is recommended. If not, you do not have to have the implants replaced.

Neil Zemmel has 1 Breast augmentation revision before & after:

Breast augmentation revision before image performed by Dr. Neil  ZemmelBreast augmentation revision after image performed by Dr. Neil  Zemmel

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Hi.  I think that you got a good life out of your current implants.  20 years is great!  You should probably talk with a PS about changing them.  It you want them to be perky again, this can be accomplished at the same time.  Best of luck!