When do implants have to be replaced?

Saline-filled implants only need to be replaced in case of rupture; this is outwardly visible by a gradual reduction in the volume of the implant. This kind of rupture occurs in less than 3% of patients. The manufacturer offers a lifelong warranty for the free replacement of defective implants. However, a charge is made for surgery and hospitalization. 
Silicone-filled implants may rupture without giving rise to complaints. An MRI scan may be advisable after 10 years.

The latest generation of silicone breast implants have such a high degree of silicone cohesivity of the gel that they rightly can be labeled as Inbreakable

What are the symptoms of a ruptured implant?

Ruptured saline-filled implants are marked by a gradual painless reduction in volume where the saline solution is absorbed by the body.
Ruptured silicone-filled implants can change in shape or volume. This may be associated with pain or sensitivity of the breast tissue and the occurrence of lumps in the mammary gland.

Does an areolar incision have an effect on nipple sensitivity or the ability to breastfeed?

If the procedure is carried out correctly, there should be no diminution in nipple sensitivity or ability to breastfeed.
The nipple and areola may temporarily display increased sensitivity after surgery. In extremely rare cases, the nipple or the skin area of the lower portion of the breast may temporarily feel less sensitive.

Do breast implants prevent cancer examination and mammography?

Since the implant is placed behind the mammary gland (subglandular position) or behind the pectoralis muscle (subpectoral location), examination of the breast remains possible. Mammography remains possible too, but the radiologist must be informed of the presence of an implant.

What is capsule formation?

Capsule formation is the development of a capsule around the implant, causing it to become round, hard and painful. Degree III and IV means that, besides feeling hard, the implant has an abnormal round appearance (degree III) and also feels painful (degree IV). Capsule formation is treated by making incisions in different directions in the contracted capsule, or by removing the capsule.