Detecting a rupture in a saline implant is usually very easy. If there’s a breach in the outer shell, the implant will fail and the sterile saline will drain out. Silicone implants have a more cohesive material, which doesn’t leak out if the outer shell becomes ruptured. The standard recommendation for detecting a silicone implant rupture has been regular MRI screening. With either type of breast implant, you should pay close attention to any changes and report possible problems to your plastic surgeon.