Though breast implants can be long-lasting for many women, some women choose to exchange their implants for aesthetic reasons such as a desire for a different size or implant filling. However, unless patients are experiencing breast hardening or other potential issues that require revision, in most cases, saline implants do not require replacement, while manufactures of silicone implants recommend replacement every 15 years. Because implants, like most medical devices, are not designed to last a lifetime, ideally patients should visit their surgeon each year for an annual examination so that surgical results can be monitored. Because of this visit’s importance, ACPS surgeons include the annual follow-up exams in the original fee that is paid for surgery.