If you have a ruptured saline implant, the implant will visibly deflate or get smaller. However, if you have a ruptured silicone implant, it will usually maintain its size and shape and it will not be obvious to you that it is ruptured. This is known as a “silent rupture.” That’s why it is recommended to monitor your silicone implants with an MRI or ultrasound 5-6 years after your surgery and every 2-3 years after that to check for rupture. You do not need to monitor saline implants for rupture.