The lifespan of modern breast implants, explained by a specialist plastic surgeon

1. What is the Typical Lifespan of Breast Implants?

Breast implants are not lifetime devices, and despite the use of prosthesis being highly regulated by the Therapeutic Goods Administration, Australia lacks long term studies that show exactly how long various implant brands ‘last’ on average. This is complicated by the fact that many implant removal and replacement procedures are performed for patient preference, such as aesthetic changes relating to ageing or weight fluctuations, rather than medically-necessary reasons or actual complications.

While the longevity of implants varies depending on the brand, placement technique and individual patient, in our clinic’s experience most implants last between 10 to 20 years on average, with some patients finding that their implants last even longer. Although many women do not experience any complications during that period, the general recommendation is that patients should not assume their implants are forever, and any changes or concerns should be investigated promptly.

Before undergoing breast augmentation surgery it is important to understand the safety profile and extended warranty provisions that come with your specific implants. Our clinic uses Motiva and Mentor implants, and extensive safety and warranty information is provided to patients at their initial consultation with the surgeon, as part of their preoperative education process.

Several factors influence the lifespan of breast implants:

Type of Implant

In Australia, silicone implants are commonly used in breast augmentation surgery, and the material can impact how long the implants last. Silicone implants tend to feel more natural and are generally more durable than saline implants. However, both types can require replacement over time.

Placement

Whether implants are placed above or below the chest muscle can influence how they age. Implants placed beneath the muscle are somewhat protected from the natural changes that occur with ageing and weight fluctuations, which can prolong their lifespan.

Surgical Technique

The skill and technique used by your plastic surgeon during the initial procedure also impact the longevity of your implants. Ensuring proper pocket placement, minimal tissue trauma and a sterile environment reduce the risk of complications like capsular contracture, which can lead to premature implant failure. Learn more here about why Dr Sharp therefore follows the Macquarie University 14 Point Pledge for safe implant surgery. 

2. When Should Breast Implants Be Replaced?

There is no set expiration date for breast implants, but patients should be aware of specific indicators that may suggest it’s time to consider replacing or removing their implants. If you notice changes, speak to your GP to obtain an ultrasound and referral back to see your plastic surgeon, In the first instance we always recommend returning to the surgeon that performed your original augmentation, as they will have your full operative history and are best placed to provide implant removal and replacement. 

Common reasons breast implants may need replacement include:

Implant rupture

Implant rupture is one of the primary reasons for replacement. While silicone implant ruptures are often “silent” (without obvious symptoms) and contained within the implant’s capsule, in which case removal / replacement is not considered to be medically urgent, but is something that should be attended to in the coming months. Ruptures are usually preceded by a degree of force or trauma to the breast, but can also occur in the absence of these causes. When investigating a suspected implant rupture, your doctor will also check your adjacent lymph nodes to understand whether there are signs that the rupture has been contained within the capsule, or if the silicone (a naturally occurring substance) has extruded outside the implant capsule. A saline implant rupture will cause the breast to deflate visibly. Signs of implant rupture can include shape change, swelling or discomfort.

Capsular Contracture

Most women’s bodies develop a capsule around their implants; this is usually thin, soft and normal. Over time, some patients may develop capsular contracture, a condition where the scar tissue surrounding the implant tightens, causing discomfort, distortion of the breast shape and hardening. Capsular contracture often requires revision surgery. Signs of capsular contracture include shape distortion, a hardening of one or both breasts and a tight, uncomfortable feeling. 

Changes in Aesthetic Preference

As the body changes with age, some women may find that their breast implants no longer suit their appearance. Weight fluctuations, pregnancy and the natural ageing process can all affect the look of augmented breasts, leading to a desire for a change in implant size or shape.

Implant Rippling or Wrinkling

Visible rippling or wrinkling of the implant is common (and not considered a complication); this is especially visible in women with thinner breast tissue or those who have saline implants, affecting the appearance of the breast. In such cases, patients may choose to replace their implants. Sometimes, fat grafting alongside the implants is recommended to provide a buffer of tissue between implants and the skin. It is important to note that once postoperative swelling has settled, some rippling may still be visible; hence most cases of rippling are usually not a reason alone to remove and replace implants.

Implant Malposition

Over time, implants may shift from their original position, leading to asymmetry or an unnatural appearance. This can occur due to gravity, tissue changes or inadequate support from the surrounding tissues. In our clinic’s experience, implant positional changes are more common in women who exert their pectorals muscle through work or heavy exercise, or sleep on their back or side. 

3. How to Monitor the Health of Your Breast Implants Over Time

To ensure your breast implants remain in optimal condition, it’s important to keep up with standard breast self-examinations and follow your surgeon, GP or breast screening clinic’s recommendations for follow-up care. We take photos of our patient’s breast at every appointment, to ensure that we can clinically track any visible changes over time. 

Patients should look out for the following changes, which may indicate that it is time to consult their plastic surgeon:

–  Breast pain or discomfort
–  Changes or distortion of breast shape, including asymmetry where symmetry previously existed
–  Hardening or tightening of the breast
–  Noticeable change in implant position
–  Visible wrinkling or bulging

It is essential to seek the advice of a qualified specialist plastic surgeon if any of these signs occur, as early detection of issues can prevent more significant complications later.

4. Factors That Affect How Long Breast Implants Last

While breast implants are designed to be long lasting, several factors can influence how long they will remain in good condition. Some women may need replacement surgery within a decade, while others may go 20 years or more without requiring any intervention. Here are some key factors that affect breast implant longevity:

Lifestyle Impacts on Breast Implants 

The pectoralis is a very strong muscle! High-impact activities or excessive chest muscle strain can place additional pressure on implants, potentially causing them to move or experience pressure and tension. It’s important for women who lead particularly active lifestyles, to discuss these factors with their surgeon as part of their preoperative consideration process, knowing they may find themselves more likely to require removal and replacement surgery earlier than other patients. 

Impact of Weight Fluctuations on Breast Implants 

Significant weight loss or gain can impact the appearance and position of breast implants. Rapid changes in body fat may result in loss of breast volume, leading to visible implant edges or rippling.

Impact of Pregnancy and Breastfeeding on Breast Implants

Hormonal changes during pregnancy and breastfeeding can alter the size and shape of natural breast tissue, which may affect the appearance of the implants. In some cases, women choose to undergo revision surgery after they have completed their family.

Impact of Ageing on Breast Augmentation Results 

As women age, the skin and tissues surrounding the implant may lose elasticity, which can result in sagging or changes in breast contour. A breast lift may be combined with implant replacement to restore the breast volume distribution and areola position on the chest. 

Pictured below: before and 3 months after breast augmentation with Dr Sharp, using silicone cohesive gel implants 

5. Breast Implant Removal or Revision: What You Need to Know

In some cases, women may choose to have their breast implants removed or replaced due to personal preference, lifestyle changes or medical reasons. Whether you are experiencing complications with your implants or simply want to change the size or type of implant, you should feel comfortable discussing revision surgery with your plastic surgeon at any time.

When planning breast implant revision surgery, the following options may be considered:

Removal and Replacement with New Implants

Many women who choose to have their implants replaced opt for a different size, shape, or type. With advances in implant technology, modern implants are often more durable and natural-looking, offering improved aesthetic outcomes.

Complete Implant Removal

For those who no longer wish to have implants, removal without replacement is an option. This procedure is often combined with a breast lift to maintain a youthful breast appearance following implant removal.

Removal and Replacement with Downsized Implant Plus Fat Grafting

Some women prefer a more subtle enhancement after implant removal and may choose to downsize their implant and add grafted fat alongside their prosthesis, whereby fat is transferred from other areas of the body to the breasts to place natural breast volume around the implant.

As with any surgical procedure, it’s important to discuss your objectives and concerns with a specialist plastic surgeon who has extensive experience in breast surgery. By working with a qualified specialist, your revision surgery can be tailored to your unique needs, using plastic surgery principles and techniques.

Key recommendations if you are considering breast implant surgery

Breast implants can provide long lasting results, but they are not designed to last a lifetime. Many women enjoy their implants for over a decade without issues.

However, it’s important to remain vigilant for any signs of changes in the appearance or feel of the breasts and to maintain regular follow up appointments with your General Practitioner per your recommended breast screening routine. If you have any concerns, see your General Practitioner for an ultrasound referral, as well as a referral to your plastic surgeon. When you see your plastic surgeon, they will then be able to examine your breasts, step through the results of the ultrasound and recommend a plan moving forward.

If you live in Queensland and are considering breast augmentation or revision surgery, or if you have questions about the longevity of your current implants, booking a consultation with an experienced specialist plastic surgeon is the best way to explore your options and ensure the best possible outcome. Always prioritise your health and well-being by staying informed about the latest advances in breast surgery and regularly monitoring your implants for any signs of complications.

​

About Dr. David Sharp:

Dr. David Sharp is an experienced specialist plastic surgeon in Brisbane, with a special interest in breast, body and facial cosmetic surgery.

With over two decades of experience in medicine, Dr. Sharp has performed over 20,000 surgical procedures in Australia and has an established surgical and non surgical practice in Brisbane.

Read more about Dr Sharp's credentials and expertise here. 

For more information and to schedule an appointment with Dr. David Sharp, please contact our patient support team at 3202 4744 or visit our online booking request form here.

This information is intended for general knowledge and should not replace personalised advice from your surgeon. Always consult with your surgeon for individual care.