You’ll know almost immediately if a saline implant leaks because your breast will appear deflated. If you have a cohesive silicone gel implant that ruptures, you may not notice because the implant retains its shape. This is called a silent rupture. Silicone gel implant manufacturers recommend getting imaging tests starting 5 years after your breast augmentation procedure. We have a high-resolution ultrasound machine in our office for this purpose. An MRI test is another option but is much less practical for cosmetic patients. Our high-resolution ultrasound device looks at the surface of the implant and checks it for integrity. It can also look in the space right next to the implant.