All women with breast implants should follow their normal medical care and follow-up with a Board-Certified Plastic Surgeon.  This includes normal breast self-exam and mammogram when appropriate.  Expert opinion is that asymptomatic women without breast changes do not require more than routine follow-up.  If a patient experiences a change in her breasts – especially if there is swelling or a lump – she should undergo examination and appropriate imaging, including ultrasound and fine needle aspiration of any peri-implant fluid.