By Caroline O'Sullivan
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September 11, 2025
While mammograms remain a crucial part of breast screening, ultrasound is the workhorse when it comes to monitoring implant health and detecting complications. At Breast Imaging Victoria, we routinely use high-resolution ultrasound in combination with mammography to give a clearer, more complete picture. Here’s what ultrasound can help with: β
Silent implant ruptures It can detect small tears or leaks -even if you don’t have symptoms. For example you can get ruptures within your implant shell (intracapsular ruptures) which might not be physical noticeable but can be seen under ultrasound. A common sign is the stepladder sign as seen in the image posted. β
Capsular contracture Ultrasound helps measure the thickness of scar tissue forming around your implant, indicating how severe the contracture may be. β
Implant positioning issues We can identify signs of bottoming out, rotation, displacement or herniation. β
Peri-implant complications From fluid (seroma), blood (hematoma), or infection (abscess), ultrasound helps us catch issues early -before symptoms worsen. β
Cancer screening In augmented or dense breasts, ultrasound is often more accurate in detecting small breast masses or suspicious lesions. β
Avoiding unnecessary MRIs Ultrasound provides a cost-effective, radiation-free alternative for ongoing implant surveillance in many cases. β
Procedure guidance Ultrasound also allows precise needle guidance if a biopsy or aspiration is needed near the implant. β¨ At BIV, we tailor imaging to each patient. For women with implants and remaining breast tissue, we usually recommend both mammogram + ultrasound (unless your referral says otherwise). If you’ve had reconstruction post-mastectomy, ultrasound alone is usually appropriate. π£ Have breast implants? Talk to your GP about getting referred to a specialist breast imaging clinic. Early detection applies to everyone - and we’re here to help you stay one step ahead.