How can I tell if my cohesive gel (“gummy bear”) breast implants have ruptured, or are leaking?

Unfortunately, this is a question that can be answered only in speculation, without hard medical evidence. Presumably the more solid, formed nature of silicone “gummy bear” implant would not allow as much leakage, or as rapid a spill as a conventional silicone implant. This means that a patient would not be able to pick this up on routine self-inspection very easily. Having stated this a “gummy bear” implant patient who develops soreness and possibly enlarged lymph nodes in the armpit should promptly report to her surgeon.