Breast Implant Rupture Corrective Surgery – Implant rupture is a complication seen in relatively few patients. If a saline implant ruptures, the salt water typically leaks out, the breast deflates and the patient returns for implant removal and replacement. With silicone gel-filled implants, rupture may be harder to detect. Because the body forms a membranous layer of scar tissue which totally ensheathes the implant (capsule), when a silicone gel-filled implant ruptures, the silicone often remains within the confines of the capsule (intracapsular rupture). This is very difficult to diagnose on physical examination and even hard to see on mammography.