Is My Breast Implant Ruptured? Symptoms and Solutions for a Ruptured Implant

At my practice in Raleigh, NC, I, Dr. Glenn Lyle, a board-certified plastic surgeon, have worked with countless women who have faced concerns about their breast implants. Whether you received your implants years ago or have recently undergone augmentation, it is natural to worry about potential issues, especially when changes in breast shape or discomfort arise. My priority is to ensure you have all the information necessary to make informed decisions about your health and well-being.

Breast implants can be life-changing, enhancing confidence and body image. However, concerns about their longevity and potential complications, such as implant ruptures, can cause anxiety. If you’re wondering, “Is my breast implant ruptured?” you’re not alone. Understanding the symptoms and knowing your options is essential for maintaining your health and appearance.

If you suspect your breast implant ruptured, recognizing the signs and seeking expert guidance early can make all the difference. In this article, I’ll walk you through the symptoms of a ruptured implant, diagnostic methods, treatment options, and preventive measures to ensure your peace of mind.

What Causes Breast Implant Ruptures? 

Breast implants are designed to be durable, but like any medical device, they are not immune to wear and tear. Several factors can contribute to an implant rupture, and understanding these causes can help you take proactive steps to minimize the risk. 

One of the most common reasons for implant rupture is the natural aging process of the implant. Over the years, the outer shell of the implant can weaken, making it more susceptible to rupture. This is why many implant manufacturers and plastic surgeons, including myself, recommend regular check-ups and monitoring after 10 to 15 years of implantation. A process called crease fold failure can occur if the implant shell folds or moves too freely in a breast pocket. The constant wear and tear of the edges of the implant shell against itself cause it to wear down. Newer devices are made of a more "cohesive" silicone material- more jelly like than the more syrupy type implant filler of years ago 

Although rare, manufacturing defects can also be responsible for implant failure. High-quality implants from reputable manufacturers undergo extensive testing, but occasional defects can still occur. When an implant does leak and a plastic surgeon removes it, it is usually sent back to the manufacturer where their engineers and  scientists examine it to determine a possible cause . This process helps them make newer models safer.

Choosing an experienced plastic surgeon, like myself, can help minimize this risk, as I use only FDA-approved implants known for their safety and durability. 

One much less important  factor is trauma or injury to the breast. Whether it’s from a car accident, a fall, or an intense impact during sports or exercise, a strong blow to the chest can potentially compromise the integrity of the implant.  Additionally, excessive pressure, such as that experienced during mammograms or other medical procedures, can sometimes lead to damage, particularly in older implants. This would be much more common in an aging implant particularly older implants that were not made as well as more recent versions. While breast implants are designed to withstand normal daily activities, direct and forceful trauma can lead to rupture  but realistically- it would be rare that an injury harms the implant. I have seen some patients who suffer a seatbelt injury or fall on the breast and they tell me it feels different. This may be related to a tear in the capsule ( normal scar tissue that envelops the breast implant)  rather than the shell of the implant itself. This may cause loosening of the pocket or potentially tightening if bleeding occurs. In fact, in the past a closed capsulotomy was recommended for treatment of a significant capsular contracture. The surgeon would powerfully " squeeze"  or compress the breast to break up the capsule. This is no longer recommended! As it might injure the shell of an aging implant. 

Surgical complications can also contribute to implant rupture. If implants are not positioned properly, or if prior surgeries have created weaknesses in the surrounding tissue, there is a greater chance of failure over time.  Even sharp inadvertent injury of the implant during insertion with a sharp instrument or suture can puncture the shell and not be noticed. Even a microscopic hole will eventually cause silicone to leak out. 

Finally, a condition called capsular contracture, where the scar tissue around the implant tightens and hardens, can increase pressure on the implant, making rupture more likely as folds can occur in the shell.. This complication often requires surgical correction, and in some cases, removal or replacement of the implant.

Recognizing the Symptoms of a Ruptured Breast Implant  

Recognizing the signs or symptoms of a rupture depends on the type of implant you have: saline or silicone. Each type presents different symptoms, and some ruptures can be “silent,” meaning they have no obvious signs or symptoms.  

→   Saline Implant Rupture Symptoms  

A rupture in a saline implant is usually easy to detect because the implant deflates as the saline leaks out. The breast will suddenly appear smaller, asymmetrical, or deflated. Since saline is sterile, your body will naturally absorb the leaked fluid without causing harm, but the implant shell remains in place. You may also notice changes in the texture of the breast, with the skin appearing wrinkled or looser. Although harmless, saline implant rupture should be corrected with replacement in a reasonable amount of time as the capsule around the implant will shrink around the shell and require complete removal of the capsule. Most manufacturers will replace deflated saline implants - a so-called lifetime guaranty. Surgeon fees and OR and anesthesia fees still apply. You must have the information about the original implant available.  

→   Silicone Implant Rupture Symptoms and Signs (Silent Rupture)  

Silicone implant ruptures are often referred to as silent ruptures because they may not produce immediate or noticeable symptoms or signs. Unlike saline implants, silicone gel is designed to remain within the implant shell, so it does not immediately leak out. However, over time, the following symptoms may develop:  

A rupture can cause subtle changes in breast shape or size, which often go unnoticed for months or even years. This is because the silicone gel tends to stay contained within the implant shell or surrounding scar tissue. While the change may be slow and gradual, it’s essential to monitor any differences in appearance or symmetry between the breasts. Size change is usually from capsular contracture but swelling may occur in response to a leaking gel implant too.  

As the rupture progresses, the breast may begin to feel firmer or develop lumps. These lumps can form when the silicone leaks into the surrounding tissue, triggering an inflammatory response from the body. If left unaddressed, this can cause discomfort and potential complications over time.  

Some women experience swelling, discomfort, or pain that gradually worsens. This symptom can be a result of inflammation or irritation caused by the leaked silicone. While not all ruptures cause pain, persistent tenderness or aching in the breast should prompt an evaluation.  

Capsular contracture is another potential indicator of a rupture. This condition occurs when the scar tissue around the implant tightens, causing the breast to feel unnaturally firm and hard. In some cases, capsular contracture can lead to noticeable distortion of the breast’s shape, making the rupture more apparent.  

Changes in sensation are another sign of a possible rupture. Some women report altered feeling in the breast, such as numbness, tingling, or heightened sensitivity. These changes can be due to the body’s reaction to the leaked silicone or pressure exerted by capsular contracture.  

Since silent ruptures can go undetected without imaging, I strongly recommend routine MRI screenings according to FDA guidelines to ensure the integrity of your silicone implants.

How to Confirm if Your Breast Implant is Ruptured

If you suspect a rupture, medical evaluation is crucial. I typically begin with a thorough physical examination to assess any noticeable changes in breast shape, firmness, or discomfort. However, imaging is often necessary for a definitive diagnosis.

An ultrasound is a quick, non-invasive option that can help detect obvious abnormalities in silicone gel implants- less common for saline . For a more accurate diagnosis, Magnetic Resonance Imaging (MRI) is considered the gold standard, especially for silicone implants. An MRI provides a detailed look at the implant structure and can identify even small leaks or ruptures that might otherwise go unnoticed.

If imaging confirms a rupture, I will discuss your options to determine the best course of action.

Final Thoughts 

If you suspect your breast implant ruptured, don’t ignore the signs—early evaluation leads to the best outcomes. Whether you need reassurance, diagnosis, or surgical solutions, I’m here to help. As a leading plastic surgeon in Raleigh, NC, I have years of experience helping women navigate breast implant complications with confidence and peace of mind. 

Further Reading  

• Read more Dr. Glenn Lyle’s Blog on Top 5 Reasons for Breast Implant Removal in North Carolina 
• Read more Dr. Glenn Lyle’s Blog on Breast Explantation Surgeons - use Caution! 
• Read more Dr. Glenn Lyle’s Photo Page on Implant Exchange with Capsulectomy and Mastopexy in Raleigh, NC

About Dr Lyle - Plastic Surgeon in Raleigh NC 

Dr. Glenn Lyle is a board-certified plastic surgeon serving the Raleigh, NC community at Lyle Plastic Surgery & Aesthetics Center since 2000. With over 30 years of experience, he specializes in breast surgery and body contouring , including tummy tucks, to enhance patients' appearance after weight loss, pregnancy, and aging. 

Dr. Lyle completed his medical degree at Wayne State University School of Medicine, followed by a general surgery residency at the University of Massachusetts and a plastic surgery residency at the University of Texas Medical Branch. He is certified by the American Board of Plastic Surgery and is a member of both the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgeons. 

Throughout his career, Dr. Lyle has contributed to the field through research, publications, and presentations at national meetings. His practice emphasizes patient safety and personalized care to achieve natural results. 

Next Steps 

If you’re considering a breast augmentation in Raleigh, NC, and want personalized advice about your suitability, recovery, risks and results, I’d be happy to meet with you for a consultation. Let’s work together to help you achieve your best results—safely and beautifully. 

To book a consultation please fill in the contact form or phone the office.