Silicone implants are filled at the factory. This is a problem only in a very small percentage of women. This is an important piece of information. There is no really good evidence that silicon causes diseases in women, but there still remains the fact that some women with silicon breast implants do get some rheumatoid diseases. Discuss this with your doctors.
Implants are very safe and effective for the vast majority of women.
Make sure you know all of your options so you can make an informed decision. The risk of spontaneous rupture increases after 10 years due to slow decay of the shell. Implants and tissue expanders are not suitable for reconstruction of the breast in all women. Women with excessive skin scarring, radiation changes, or mastectomies that have damaged chest wall muscles are prone to complications when implants are placed without adequate soft tissue coverage. These patients are best treated with some form of tissue transfer from one part of the woman's body to the breast area.