Breast augmentation - MRIs and check-ups needed?

Great question – Breast implant imaging recommendations depend on the type of implant you have and whether you are having symptoms.
For asymptomatic women with silicone implants, the FDA recommends the following:*First screening MRI or high resolution ultrasound 5 years after surgery.*Every 2 to 3 years thereafter to monitor for silent rupture (a rupture that does not cause obvious symptoms).
These guidelines apply specifically to silicone gel implants because saline implants will deflate when ruptured, often making detection by physical exam much easier and imaging less necessary for routine monitoring.
If you are experiencing breast changes, discomfort, firmness, or swelling, imaging may be recommended sooner regardless of the implant type. An MRI is considered the most sensitive method for evaluating silicone implant integrity, though high-resolution ultrasound is emerging as a more accessible and cost-effective option in many practices.
It is also worth noting that routine mammograms are still recommended based on age and risk factors, even for patients with implants- though you should be sure to inform the radiologist so that they can use proper implant displacement techniques to best examine your breast tissue and protect your implant.
Most importantly, always check with your board-certified plastic surgeon or healthcare provider for individualized recommendations based on your implant site and personal health history.
Dr. Brandon LambirisBoard-Certified Plastic Surgeon–Sarasota, FL

MRI is the most sensitive study for detection of implant rupture.

Manufacturers recommendation for surveillance:
-5 years post augmentation
-Every 3 years moving forward.

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

We do not recommend mammograms after breast augmentation surgery. However, you can continue your regular yearly breast ultrasound exams. Extra tests or scans are not necessary unless your surgeon recommends them.