Patient or doctor is not satisfied with the overall look based on the style or size of the implant used. Dr. Youn: Yeah. And then we're taking very drastic measures, as you pointed out, that may or may not be necessary for you, because what is going on with one person may not be going on with someone else. In order to fully understand these complications, studies would need to be larger and longer than those conducted so far. And finally, plastic surgeons and the major plastic surgery societies have responded. Five million people have it done here in the United States every year. It's called The Holistic Plastic Surgery Show. Large ones will require a surgical drain. This is something that you're actively… This is your world. Inside the silicone rubber implant is either saline or saltwater or is a silicone gel. There was a recent study that basically it was a study that took a bunch of other studies and put them together, analyzed them together, and did find a higher risk of certain autoimmune diseases like Sjogren's syndrome in women who have silicone breast implants versus women who don't. The implant is not in the correct position in the breast. Although there are currently no established methods for accurately detecting silicone levels in breast milk, a study measuring silicon (one component in silicone) levels did not indicate higher levels in breast milk from women with silicone gel-filled implants when compared to women without implants. It is also sometimes referred to as autoimmune/inflammatory syndrome induced by adjuvants (ASIA). Jennifer Fugo, MS, CNS is an integrative Clinical Nutritionist and the founder of Skinterrupt. You're putting poison in your body.” And then there are people out there saying, “Breast implants are 100% completely safe, and breast implant illnesses is a farce.” And like probably most things in life, the truth is probably somewhere in between. This is called "en-bloc resection". Though the medical community does not recognize breast implant illness as a real disease, many women complain of collective symptoms like pain, rashes, body odor, hair loss, and anxiety after getting implants. It's silicone rubber. Dr. Youn: There are some people who hypothesized that maybe it's heavy metals and other substances that could be inside the shell, as well as the internal gel. For example, I had a patient who I actually did breast augmentation on about 10 years ago, went to a different plastic surgeon about a year ago in my region, in the Metro Detroit area, and said, “Hey, I had these breast implants put in 10 years ago, and I think I'm having these types of symptoms. The body may absorb small seromas. We know each other in real life, and I deeply appreciated your care and your willingness to look deeper into what's going on in your respective field. Do they also have the concern that they could have a reaction, or most women are usually not concerned about that? Site for all breast implant illness related information. I mean, it's just saltwater. You know what? Visual documenation of symptoms associated with breast implant illness; rash, hair loss, swelling, inflammation and more. That is so true. If a silicone gel-filled breast implant ruptures, it is not likely that you or your doctor will immediately notice because most silicone implant ruptures are without symptoms, "silent ruptures". Dr. Youn: And so she asked this plastic surgeon as an aside like, “Hey, just wanting to bend your ear on this while we have you here.” He is an older doctor and somebody who's been here for quite a while. I appreciate it. And so all of my patients who I see now, that is something I bring up with them. Hair loss & balding (daily)- 2017. Symptoms such as fatigue, memory loss, rash, "brain fog," and joint pain may be associated with breast implants. Do you have both women who come to you? Dr. Youn: But over the last several years, and if you really, really do look heavily into the literature, there are some studies, especially recently, not in the plastic surgery literature, not in the stuff that we plastic surgeons read, but in the rheumatologic literature showing that there is a possible connection between breast implant illness and silicone breast implants. Dr. Youn: No, definitely not. “Systemic Symptoms [Breast Implant Illness (BII)] Symptoms such as fatigue, memory loss, rash, “brain fog,” and joint pain may be associated with breast implants. There is actually a term called ASIA, A-S-I-A, and it's autoimmune disease stimulated by like adjuvants. Somebody who says they had an implant or some other type that has silicone could also have potentially, we don't know, but could potentially have an issue as well with the silicone if they never thought of it before. Information on identifying symptoms of breast implants and silicone toxicity, list of explant surgeons, details of proper explantation procedures, detoxification, and more. May cause swelling, pain and bruising. Because as far as we know, it's as inert of a substance to our body as we know of. The FDA has not cleared or approved any devices to treat or reduce the incidence of capsular contracture. Jennifer: That is so true. As you can see the symptoms of breast implant illness and these diseases overlap significantly, therefore seeking in depth analysis by a doctor is critical. Because not everybody with breast implants develops symptoms. Photo courtesy of Walter Peters, Ph.D., M.D., F.R.C.S.C., University of Toronto. These can be mistaken for cancer during mammography, resulting in additional surgery. It is important to have an evaluation to diagnose BIA-ALCL because a confirmed BIA-ALCL diagnosis may change the type of operation that should be performed. Dr. Youn: This is something that quite often you hear very quickly that they come out and within days they feel much, much better. If you're thinking about breast implants and let's say you're listening to this podcast, the first thing you want to think about is, can I be happy in my life, completely happy, and not have breast implants? There is a possibility that capsular contracture could occur again after surgery to correct it. If you experience any symptoms of BIA-ALCL, such as persistent swelling or pain, or other changes in the area around your breast implant, talk to your surgeon or health care provider about the need for further evaluation. You've got breast implant illness.” Unfortunately, there just isn't, and hopefully someday there will be. A tear or hole in the implant's outer shell. Any final thoughts that you'd love to convey to anybody out there listening to this going, “Oh my goodness, this sounds like me.”. And I think she ended up starting with like 30 of them. Dr. Youn: Yeah. However, occasionally when a silicone gel-filled implant ruptures, a woman may notice a decrease in breast size, change in breast implant shape, hard lumps over the implant or chest area, an uneven appearance of the breasts, pain or tenderness, tingling, swelling, numbness, burning, or changes in sensation. The picture below shows a Grade IV capsular contracture in the right breast of a 29-year-old woman 7 years after placement of silicone gel-filled breast implants. And if the surgeon does not and they dismiss your symptoms and they dismiss the diagnosis, then find somebody else who will listen to you. And the one thing that I loved about you, when I met you initially, I was like, he's a plastic surgeon. I think most of us just blow people off and saying, “Oh well, they just do this,” and you don't. I thought it was breast implant illness syndrome, and you're like, “I don't really think it's a syndrome.” For those who are listening to this who have considered getting breast implants or maybe have them and have heard through the grapevine or the webosphere that maybe your breast implants are causing a problem with your health, what exactly is breast implant illness? To minimize your risk for infection, implant rupture, and breast cancer illness, closely monitor your breasts after your procedure. These symptoms were compiled by personal experience and through a review of literature from relevant peer-reviews articles. It's one of the things I really appreciate about you as a person, but also the fact that we could have this conversation, which is I would say to some degree a bit still controversial. The surgical procedure usually involves removal of the implant with or without replacement of the implant. Before sharing sensitive information, make sure you're on a federal government site. Symptoms of this condition – which Dr Zuckerman explains, is a pattern of health problems likely caused by an autoimmune reaction to the implant – include mental confusion, joint pain, hair loss, dry eyes, chronic fatigue, and persistent flu-like symptoms. And I saw this other plastic surgeon and he said I need to see a psychiatrist.” I mean, I was dumbfounded. Capsular contracture is the hardening of the breast around the implant. And I just want people to understand that I don't just know you from this. The body may absorb small hematomas, but large ones may require medical intervention, such as surgical draining. My guest will explain exactly what breast implant illness is, and why women may experience it. Tightening of the tissue capsule around an implant, resulting in firmness or hardening of the breast and squeezing of the implant if severe. I assume there's still women now that want to have breast implants done. The site is secure. It is a multifaceted illness that begins with the immune system and eventually can affect other body systems. There are millions of women who receive breast implants. Of the 345 posts and comments reviewed, 165 (48 percent) describe a symptom of breast implant illness, such as fatigue, chronic pain, rash, body odor, irregular heart rate, anxiety, neurologic abnormalities, hair loss, and endocrine dysfunction. Dr. Youn: If you actually look at the studies, the studies all look pretty much at silicone breast implants, and those are the studies that do appear to show a potential connection between silicone breast implants and those symptoms of breast implant illness. Today's episode is focused on breast implant illness, and its possible link to skin rashes. Jennifer: And I think it's important for people to know. Updated Sep 2019. bii symptoms. The .gov means it’s official.Federal government websites often end in .gov or .mil. Is it a specific type where you really have to worry, or is it just all breast implants in general? If you've got a history of severe allergies, you really need to be aware of this. Is it just across the chest and the abdomen where the implants typically are, or maybe if we had a silicone implant or some other device implanted someplace else? If you have any concerns or questions about your health, you should always consult with a physician or other health care professional. I don't think that that's really a practical conversation to have in this day and age. The women were surveyed before and after their breast implants were removed, and asked whether they suffered from 11 symptoms commonly associated with breast implant illness, including hair loss, joint pain, chronic fatigue and hives. Mould has been found in the explanted tissue samples and capsules, taken from thousands of women during their breast … What is Breast Implant Illness? In general, I encourage my patients, try to make sure that there isn't something else going on. Is that normal? Most likely it's the fact that it's silicone that's inside your body that you're reacting to because you shouldn't react to saline. Evaluation for BIA-ALCL typically involves a physical exam, imaging, and/or assessment of the fluid or tissue around the breast implant. Collection of blood near the surgical site. There are two small studies that do show that if you do have a history of autoimmune disease, one of study looked at that, another study looked at if you have a history of severe allergies that you may be at higher risk for breast implant illness, but these are small studies. And do they have to maybe have a leak in them in order to cause this issue? He's over on Instagram. There are even people talking about Botox, and we do Botox. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Dr. Youn: In general, it's a patchy rash, but there are no… Unfortunately it doesn't necessarily follow a pattern that everybody gets. He said, “You need to see a psychiatrist,” is what he told her. F.A.C.S, is known as America's Holistic Beauty Doc. This can happen during surgery or afterwards if the implant moves or shifts from its original location. We began by focusing on content relating to breast implant illness and augmentation. There are complications that can happen, and obviously breast implant illness is something that you have to always keep in mind. I've been a guest on there, and we'll link up to that in the show notes, as well as his website. It may be difficult to remove silicone gel after a rupture. An official website of the United States government, Recalls, Market Withdrawals and Safety Alerts, Risks and Complications of Breast Implants, Medical Device Reports of Breast Implant-Associated Anaplastic Large Cell Lymphoma, Questions and Answers about Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), Things to Consider Before Getting Breast Implants, Breast Implants - Certain Labeling Recommendations to Improve Patient Communication, Saline, Silicone Gel, and Alternative Breast Implants guidance, Breast implant associated-anaplastic large cell lymphoma (BIA-ALCL), Connective tissue disease, breast cancer, and reproductive problems, Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL). Dr. Youn: Yeah. Dr. Youn: She ended up having… There's a list online of like 40 different symptoms, ones that I mentioned in many others. Skinterrupt offers health, wellness, fitness and nutritional information which is designed for educational purposes only. Chest wall or underlying rib cage appears deformed. We think that there probably is something to do with the silicone outer shell. Jennifer: That is super interesting. Damage during procedures to the breast, such as biopsies and fluid drainage, Overfilling or underfilling of saline-filled breast implants, Physical stresses such as trauma or intense physical pressure, Placement through a non-FDA approved incision site, for example the belly button, Closed capsulotomy - a technique used to relieve capsular contracture involving manually squeezing the breast to break the hard capsule, Placement of drugs or other substances inside the implant other than sterile saline, Any contact of the implant with Betadine, a povidone-iodine topical antiseptic made by Purdue Frederick Company.

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