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Breast Implant Illness – Fact or Fiction?

The Australasian Society of Aesthetic Plastic Surgeons (ASAPS) have released a statement on ‘breast implant illness’.

“You may have heard the term ‘breast implant illness’ and wondered how prevalent it is, writes Associate Professor Mark Magnusson, Specialist Plastic Surgeon and President of the Australasian Society of Aesthetic Plastic Surgeons.  However, the term is not well defined and tends to be a capture-all phrase used by patients on social media for any infliction that may be experienced by a woman after having breast implants inserted.

I’ve heard and read women stating they’ve suffered toxicity from their breast implants which has caused symptoms such as fatigue/low energy, cognitive dysfunction (brain fog, memory loss), headaches, joint and muscle pain, hair loss, recurring infections, swollen lymph nodes and swollen glands, rashes, IBS, and even problems with the thyroid and adrenals.  I wouldn’t want to trivialise anyone’s experience of the aforementioned symptoms, but do note these can be caused due to a large number of illnesses.  If however, a person is concerned about their breast implants they should seek medical advice as to whether or not to have them removed.

It’s important to note that breast implants are medical devices.  They are not a lifetime solution and patients will need to have them removed and replaced at some future point in time.  8 out of 10 women will still have their breast implants at 10 years and most will have had them operated on again by 15 years.  There are a variety of reasons for needing reoperation that include changing the size or addressing other changes to the breast associated with pregnancy, weight fluctuations and time.

There are well-documented issues that can arise with breast implants.  There are issues such as capsular contracture, migration, implant rupture and even the rare association between textured breast implants and breast implant associated-Anaplastic Large Cell Lymphoma (BIA-ALCL).

Breast implant illness is much harder to define. There is no strong evidence, and in fact, very little evidence at all. There is no pathophysiological explanation, no hypothesis regarding how silicone could cause these problems and no diagnostic test.  There are however, well-supported social media support groups for women with “breast implant illness” and many women who feel they are affected.  There are many millions of women with breast implants and in a group of that size, we would expect to see a broad array of unusual problems unrelated to breast implants.

There is no doubt that some patients just don’t co-exist comfortably with their implants.  This might be due to physical symptoms associated with scar tissue or from the additional weight and for others, they may have hard to define symptoms.  We can’t claim to know everything, and it may be that in the future we understand more.  Many women have their implants removed due to these concerns and some appear to be helped.

So while the jury is still out on whether or not breast implant illness is fact or fiction, I can tell you that in this day and age breast implants are very safe when you are under the care of a Specialist Plastic Surgeon.  There is however, a group of women that request removal of their implants for a variety of reasons and some feel they have “breast implant illness”.  Of this latter group, some experience an improvement in their symptoms, but importantly not all.

ASAPS members are fully qualified Specialist Plastic Surgeons from Australia and New Zealand who are Fellows of the Royal Australasian College of Surgeons (FRACS), with expertise, experience and ongoing education in aesthetic surgery.  Our members only operate in accredited facilities so you can be assured they will follow the appropriate course of action to minimise the risk of infection.”

Choosing the correct implant size

Breast Implant sizing

So, firstly every plastic surgeon does this a slightly different way so don’t get too alarmed if your surgeon does breast implant sizing differently because the main themes that I am trying to get across will be valid. The critical measurement that most surgeons use is called the base width of each breast and it will determine the ultimate width of the implant we will choose.

Read more

How to achieve a natural Breast Augmentation

Is it possible to have a natural result from breast implants?

Fortunately, the answer is yes. There are a number of ways a fully qualified plastic surgeon can achieve this look.  The biggest determinant is the size of the implant the patient chooses.  Regardless of technique if the implant is too big for the body frame it will look fake. Generally speaking, an implant placed under the pectoral muscle will give a more natural result compared to on top of the muscle.  Similarly, for any given single volume of an implant, a teardrop or anatomical shaped implant will give a more natural look than a round. Read more

Choosing between saline and silicone breast implants

Saline vs Silicone Breast Implants

The short story is that silicone implants are better in almost all respects. They have a more natural feel and look compared with saline, and are far less likely to cause visible wrinkling and folding.  If the implants are in for long enough and a rupture occurs then the implant will not deflate and leave you lopsided like it will with a saline.  For this reason it silicone is my preferred choice. Read more