I have had breast implants for 14 years and I am now developing a large rash under my left breast, and it hurts and I feel alot of air pockets. One doctor told me to replace them every 10 years and another told me you never have to replace them

A: Longevity and replacement of breast implants

Saline and silicone implants have a deflation/rupture rate of about 10% during the first decade after they are inserted. Some women are fortunate and can go 10-20 years with implants, while others are unfortunate and can experience a deflation in the first year or two. The chances that you will have a “reoperation” after your initial surgery is about 25% in the first 10 years. This means one our of every four patients will have another breast surgery in the first decade. This is usually due to a request for size change (typically to go bigger), capsular contracture (scar tissue), deflation, malposition, rippling, or to switch from saline to silicone.

You only need to change your implants if you have a rupture/deflation or some other problem causing you to have symptoms. If you have silicone implants and your follow up MRI reveals a rupture, the FDA recommends removing and replacing the implant.

Consult with a board certified plastic surgeon prior to considering breast augmentation.

Best wishes.