When there is radiographic evidence or an MRI the breast implant is ruptured, it should be replaced:
1) Because long-term the silicone may cause reactions within the breast tissue causing benign granulomas or small masses in the breast which can mimic breast malignant breast tumors that may be.
2) Leaking silicone implants especially “non gummy” may stimulate internal scar tissue referred to as a capsule. It is optimal to remove the implant with the capsule. If breast implant on top of the muscle I recommend replacing with a new gummy bear implant below the muscle. All implants are now guaranteed for life. Thus if no evidence of rupture there is no need considered for removal after 10-15 years (as previous recommended).