Replacement of implants that have ruptured is not an emergent operation, but it is one that should be undertaken as soon as possible, from the diagnosis. Over time silicone implants that have ruptured tend to leak and can cause more scar tissue formed by interaction around the implant. The procedure requires removing the implants and also the scar tissue around the implant. Therefore, in most cases, you do need a drain when replacing the implant. The recovery is brief about 3-5 days. It would be advisable for you to see a surgeon to get a proper prognosis.