Deflation
The implant can deflate or rupture from an injury or from wear and tear from an improperly under filled implant (even your breathing motions can cause creasing in the implant causing it to weaken at these creases). Even an overzealous technician performing a mammogram can rupture your implant. You can have a complete deflation within several hours if it is an un-encapsulated (or thinner encapsulated) saline-filled implant. If it is a silicone gel-filled implant, you may not know for months or years. Of course either way, they will have to be replaced. If there is a thick scar capsule around an implant it may impede the rate of absorbance with saline, especially if calcified. But with silicone you may not know you have a rupture, even with an MRI, if you have a thicker capsule. The lower molecular silicones may diffuse and permeate your tissues but the higher molecular silicones may stay trapped by your capsule resulting in a clean MRI. When this happens it is called intra-capsular rupture. You many not even know you have had a rupture with silicone gel-filled implants if this should happen.
Just remember that breast implants do not last forever so always have it in the back of your mind that you very well may have to undergo at least one replacement surgery in the course of your life. This is where implant warranties are very convenient.
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