One commonality that all women share seeking breast implants is that they will require replacement or removal in time. Breast implants are not a permanent procedure and may begin to wear, rupture, leak, shift, harden or experience other complications if not maintained. It is important to be to be sensitive to your body’s signs that may indicate a problem with your breast implants, which may lead to more serious complications.

Seventy-seven year old Sonia Fuentes, cofounder of the National Organization for women began having concerns regarding her silicone implants she had received 15 years prior as a reconstructive measure following breast cancer. Despite her suspicions that an implant had hardened and was possibly leaking, Fuentes’ oncologist seemed reluctant to conduct an MRI. Fuentes persisted and received the MRI, which revealed that her implant had in fact ruptured.

“You’ve got to learn to go with your gut,” she commented on the incident. “So many women, if a doctor tells them something—that’s it.”

According to Dr. Scott Spear, the chief plastic surgeon at Georgetown University Hospital in Washington D.C, and former president of the American Society of Plastic Surgeons, “The quality of advice people get is very spotty.”

He recommends however that patients with concerns regarding their implants should, “start off by seeing a doctor, a plastic surgeon.” It can be helpful to consult the surgeon who performed the original surgery, but is not necessary if they are unavailable or you feel unsatisfied with their opinion. There are doctors and clinics available that specialize in implants and can evaluate and potential problems that you may have.

Contact a board certified plastic surgeon with any concerns regarding your implants. Breast implants may need replacement or removal at different times depending on the patient and if complications arise.