It is the recommendation of the manufacturers that all implants be removed and replaced at 10 years.  This is simply due to the risk of rupture, a significant concern if the implants are silicone implants.  Many women at the time of implant exchange should consider replacement with a slightly larger size to offset the volume increase created by the implant molding the anterior chest wall and thinning out the overlying muscle and fat layers.  For women who are undergoing Implant exchange, it is essential to have the information regarding the SIZE and FILL VOLUME of the implants if they are SALINE,