Routine MRIs are not mandatory for women with silicone breast implants, but they are recommended. Because today’s silicone implants don’t lose their shape if they break, an MRI is the only way to check for damage. Currently, the FDA recommends an MRI 3 years after breast augmentation with silicone implants, then once every 2 years thereafter. However, the ultimate decision on how often to undergo MRI scans is up to you.