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When saline implants rupture they can deflate rather quickly because the filler material used is rather thin and may leak out quickly. The filler also closely mimics the fluids in the body and as a result, the liquid will be absorbed and expelled from the body on its own. Silicone implants, on the other hand, will not deflate as quickly. The filler material is much thicker and it may be difficult to detect a rupture as the implant may not deflate. For this reason, annual checkups with a plastic surgeon are recommended to determine whether or not the implant is intact. Additionally, patients with silicone implants should have an MRI after three years to examine the implant for rupture. For both saline implant or silicone implant ruptures, the implant should be removed and, if desired, replaced immediately.
Breast implant deflation is always a concern for breast augmentation patients because implants do not last forever and are not impervious to rupture. There are many reasons a breast implant could rupture and subsequently deflate. Implants may rupture if they were not filled properly, as a result of a trauma or even during a procedure such as a mammogram, although this is rare. Additionally, implants may rupture over time as a result of normal wear and tear on the implant.