This is a very common question, and the short answer is no. If you have saline implants, there is no kind of follow-up needed. If the implant needs to be replaced, you will know. This is because if there is a break or tear in the shell, the saline (saltwater) will leak out of the implant and be absorbed by the body. You will either gradually or suddenly, depending on how big the leak is, see a decrease in the size of your breast. With silicone implants, if there is a break in the shell, the patient will not know unless an MRI is performed. For this reason, the FDA recommends an MRI 3 years after the initial procedure and then every 2 years after that. The Plastic Surgery Society felt the FDA recommendations were too frequent and could lead to unnecessary surgeries with false-positive tests. They also felt that given the silicone gel rupture rate of 0.8% per year, an MRI should be obtained within 7-10 years from the initial procedure.