Breast implants do not last forever, meaning at some point they must be replaced or removed.
However, there is conflicting advice regarding when to do it, and how. Sonia Fuentes, co-founder of the National Organization of Women, encountered this problem when she started suspecting that the implant she had gotten following a mastectomy had begun to leak.
One doctor suggested she get a mammogram. However, a women's website countered that the compression of a mammogram could cause the implant to rupture. The FDA website encouraged her to have an MRI, but another doctor told her an MRI was unnecessary.
After weighing the conflicting advice, Fuentes insisted on an MRI. The MRI revealed a ruptured implant, which she had replaced. The doctor who replaced it took an ultrasound, a method of analysis not suggested by previous doctors, which confirmed the rupture.
Leaking silicone from ruptured implants may cause health problems, but opinion differs on the effects.