Silicone implant ruptures are usually more subtle. While some silicone ruptures may look similar to saline implant deflation, most silicone ruptures are not immediately apparent.
The best way to check for a ruptured silicone breast implant is an MRI. The FDA recommends patients undergo MRI exams every two years following breast augmentation surgery to check for ruptures or leaks. Yearly mammograms are also a great way to keep an eye on your implants.
If a rupture is detected, breast revision surgery is almost always necessary.