Breast implants are medical devices that are implanted under the breast tissue or under the chest muscle to increase augment breast size or to rebuild reconstruct breast tissue after mastectomy or other damage to the breast. They are also used in revision surgeries, which correct or improve the result of an original surgery. There are two types of breast implants approved for sale in the United States: saline-filled and silicone gel-filled. Both types have a silicone outer shell. They vary in size, shell thickness, shell surface texture, and shape contour.
If the patient has sutures that do Breast large photo dissolve, or if drainage tubes are placed near the breasts, a follow-up appointment will be necessary to remove them. Video Gallery View Video Gallery. Implants last from 7 to 12 years on average. On The Vlog Breast Implant Exchange Whether for reconstruction or Breast implant information patients, implants are very useful in changing the volume and shape of the breast; however, implants should not be considered lifetime devices. X-rays cannot pass through implants, so they might do the mammogram a different way so that as much breast tissue as possible can be seen. Women with ruptured silicone implants often lose breast tissue as Breast implant information of the removal surgery. Like on Facebook Share on Facebook.
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Which breast surgery is right for you? Women with implants should read this breast cancer detection guide Women considering plastic surgery will spend Breast implant information average of months researching plastic surgery options before scheduling a procedure. Simply being a woman is a risk factor for breast cancer, so early detection is key. Free Cosmetic Surgery Guide Click Breast implant information to receive lifestyle tips direct to your inbox, along with Breast implant information complimentary digital copy of Cosmetic Plastic Surgery Procedures at a Glance. Christopher K. They are also used in revision surgeries, which correct or improve the result of an original surgery. Have questions about FDA approved silicone or saline breast implant manufacturers? Submit Comments. ImplantInfo Visitor Recommendations. I researched Cheri A. Breast augmentationsometimes referred to as a "breast aug" or "boob job" by patients, involves using breast implants or fat transfer to increase the size of your breasts. Breast augmentation and breast lift solve separate issues but achieve similar goals.
Given these statistics, it is not surprising that in spite of the increasing number of women with breast implants, debate continues to swirl about their safety.
- The draft guidance, Breast Implants - Certain Labeling Recommendations to Improve Patient Communication , provides recommendations for the form and content for certain labeling information for saline and silicone gel-filled breast implants, including:.
- This list is not intended to be an all-inclusive list of breast implant resource groups.
- Breast augmentation, sometimes referred to as a "boob job" by patients, involves using breast implants or fat transfer to enhance your breasts.
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Given these statistics, it is not surprising that in spite of the increasing number of women with breast implants, debate continues to swirl about their safety. Many women are justifiably confused by the conflicting information they hear. Here are the facts about what is known and not known about the risks of breast implants.
After a brief history of breast implants in the United States, we will answer the following questions:. Breast implants made with silicone envelopes and filled with silicone gel or saline salt water were first sold in the United States in the s, but sales were relatively slow until the s. For the first time, the media started to report about women with implant problems, and quoted doctors who were concerned about implant safety.
The FDA did not require implant makers to prove that their saline implants were safe until , when, despite high complication rates, the FDA approved saline breast implants for the first time.
Silicone gel breast implants were approved for the first time in November Between and , silicone implants were restricted to clinical trials that were primarily for cancer patients and women with broken implants. Patients were required to be informed that the implants were not approved by the FDA and to be regularly evaluated by their plastic surgeons as part of the study, in order to provide safety data intended to help all women with gel implants.
Although silicone gel breast implants made by two manufacturers were approved in November , there are still restrictions. For example, they are only approved for women over the age of Reports of complications among women with implants have been published in medical journals and discussed at public FDA meetings. There are a number of short-term and long-term risks that women thinking about getting breast implants or about removing or replacing older implants need to be aware of.
Local complications refer to problems that occur in the breast area that are obviously related to the breast implants or the surgery. For example, among reconstruction patients :. In addition to the risks from anesthesia, surgical risks include infection and hematoma blood collecting around an implant , both of which can range from mild to severe.
Surgical risks are highest immediately around the time of surgery, but complications can require additional surgery later, which will have similar risks. A woman may need to face these surgical risks several times if she needs surgery to correct implant problems or has broken or damaged implants replaced with new ones. Common local complications include loss of nipple sensitivity or painfully sensitive nipples. Problems like these can interfere with sexual intimacy.
Scar tissue that forms around any implant or foreign body can become hard or tight around the implant. This common problem is called capsular contracture. The scar tissue is inside the body, but it can cause the breasts to become very hard and misshaped, and it leads to discomfort that ranges from mild to severely painful. Researchers have shown that bacteria or mold can grow in saline implants , and have expressed concerns about the bacteria or mold being released into the body if the implant breaks.
All breast implants will eventually break. It is not known how many years the breast implants that are currently on the market will last. The likelihood of rupture increases every year.
Research has shown that silicone gel in implants can break down to liquid silicone at normal body temperatures, and there are reports of silicone leakage and migration from implants to the lymph nodes and other organs. What happens if liquid silicone migrates to the lungs, liver, or other organs? This has potentially serious implications for women with breast implants, since silicone gel breast implants are considerably larger and closer to the lungs than calf implants.
Several reports have concluded that there is no evidence that implants cause systemic disease. Since connective-tissue and autoimmune diseases may take many years to develop and be diagnosed, studies that include women who had implants for such a short time cannot be used to determine whether or not breast implants increase the long-term risks of getting these diseases.
Studies conducted after these reports were published indicated that implants may be linked to autoimmune diseases. Do implant patients who have autoimmune symptoms feel better if their implants are removed? There is no research evidence that implants cause breast cancer. However, implants can interfere with detection of breast cancer. Mammograms have been shown to detect breast cancer earlier, potentially saving lives as well as saving women from needed mastectomies.
There are several ways in which implants have the potential to delay detection of breast cancer:. Patients have reported that their implants delayed their breast cancer diagnosis. This is likely due to delays in breast cancer detection because of implants. This increased risk of breast cancer-specific death is likely to be due to the greater inaccuracy of mammography for women with implants.
Concerns about the safety of breast milk have also been raised, but there has not been enough research to resolve this issue. A study of a small number of women with silicone gel breast implants found that the babies born and breastfed after the mother had breast implants had higher levels of a toxic form of platinum in their blood than babies born before the same women had breast implants.
Women with implants have raised concerns about memory loss, difficulties with concentration, and other cognitive problems. Some experts believe these symptoms could be related to the small amounts of platinum that are used to make silicone gel breast implants, since potentially toxic levels of platinum have been found in the blood and urine of women with implants.
Unfortunately, there is no well-designed published epidemiological research to determine whether there is an association between these complaints and breast implants. Breast implant surgery is not a one-time cost. Even if the implant itself is replaced for free, or if the surgeon offers his or her services for free, the cost of the medical facility, anesthesiology, and other expenses can still cost many thousands of dollars for each surgery. These expenses are affordable for some women, but not for others, especially if the implant breaks after just a few months or years, or after a woman is divorced or loses her job.
The purpose of the MRIs is to determine if the silicone gel breast implants are ruptured or leaking, because there are often no symptoms. It is important to remove silicone implants if they are ruptured, to avoid the silicone leaking into the breast or lymph nodes. What about health insurance? Typically, cosmetic surgery is not covered by health insurance, and problems resulting from cosmetic surgery are also not covered. Health insurance will not pay for MRIs to check for silicone leakage for augmentation patients.
In some states, major health insurance providers do not insure women with breast implants. Obviously, this can be a terrible problem for women who are diagnosed with breast cancer or any other illnesses that are excluded, whether or not those diseases are related to the implants.
Women who have implants sometimes decide to have them removed because of complications, disappointment with how they look or feel, or concern about the long-term health risks.
Some surgeons discourage patients from removing their implants. Women with ruptured silicone implants often lose breast tissue as part of the removal surgery. If silicone has leaked into the breast tissue, the resulting removal surgery may be similar to a mastectomy.
The plastic surgeon who performed the original surgery is not necessarily the best choice for removing the implant. Some plastic surgeons are very experienced at removal and are especially skilled at getting the best possible cosmetic result. However, new implants often have risks that are not immediately obvious. Unfortunately, no studies have been published in medical journals to show whether these new implants are proven safer than other silicone gel breast implants for long-term use.
At this point, there is no way to know whether the thicker shell will last longer than other implants and if so, whether it will last one year longer or several years longer.
These implants have not been approved by the FDA because even less is known about their safety than is known about the older styles of silicone gel breast implants. In addition to silicone and saline implants, three other kinds of implants were developed and used primarily outside the United States: Trilucent implants with soybean oil filler , and Novagold and PIP hydrogel implants, which were filled with a plastic gel.
By , serious safety concerns resulted in the removal of all three from the market. The fact that they had been praised by doctors and patients when they were initially introduced serves as a reminder that the long-term risks of implants are not always obvious during the first few years of use. Research clearly shows that implants are associated with significant health, cosmetic, and economic risks within the first few years and these risks increase over time.
Unfortunately, long-term risks remain unknown because of a lack of careful scientific studies. The FDA has required implant manufacturers to conduct additional research to determine why implants break, how long they can be expected to last, and what the longer-term health consequences of broken and leaking breast implants might be. Those studies, however, have not yet been made public.
Photo: FDA. After a brief history of breast implants in the United States, we will answer the following questions: What are the known risks? What happens when breast implants break? Do breast implants make women sick? What are other concerns? What if I need to get my implants removed? Are there newer, safer implants?
History of BREAST Implants Breast implants made with silicone envelopes and filled with silicone gel or saline salt water were first sold in the United States in the s, but sales were relatively slow until the s.
What are the known risks? For example, among reconstruction patients : 46 percent of women with silicone gel implants and 21 percent with saline implants underwent at least one re-operation within three years; 25 percent of silicone patients and 8 percent of saline patients had implants removed 6 percent of silicone patients and 16 percent of saline patients experienced breast pain Complication rates were lower, but still substantial, for augmentation patients.
What happens when implants break? Silicone Migration Research has shown that silicone gel in implants can break down to liquid silicone at normal body temperatures, and there are reports of silicone leakage and migration from implants to the lymph nodes and other organs.
Auto-immune diseases Several reports have concluded that there is no evidence that implants cause systemic disease.
There are several ways in which implants have the potential to delay detection of breast cancer: Although mammography can be performed in ways that minimize the interference of the implants, approximately 55 percent of breast tumors will be hidden in women with implants. FDA scientists report that silicone or saline implants can rupture when women undergo mammograms, and for this reason, women who fear implant rupture may forego mammograms.
Memory and Concentration Women with implants have raised concerns about memory loss, difficulties with concentration, and other cognitive problems. Financial Costs Breast implant surgery is not a one-time cost.
Why long-term safety studies matter In addition to silicone and saline implants, three other kinds of implants were developed and used primarily outside the United States: Trilucent implants with soybean oil filler , and Novagold and PIP hydrogel implants, which were filled with a plastic gel. Conclusions Research clearly shows that implants are associated with significant health, cosmetic, and economic risks within the first few years and these risks increase over time.
The first is whether or not to undergo reconstruction; the second, if reconstruction is chosen, is what kind of reconstruction to have? Supreme Court in AMP v. All Rights Reserved. Crafted by Cornershop.
Featured Practice. This leaves a small scar within the armpit but achieves a breast augmentation with no scar on the breast itself. Have questions about FDA approved silicone or saline breast implant manufacturers? Side boob. You need to have realistic expectations when considering any cosmetic surgery. Free Cosmetic Surgery Guide Click here to receive lifestyle tips direct to your inbox, along with a complimentary digital copy of Cosmetic Plastic Surgery Procedures at a Glance. Phone: ; Website: www.
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Breast augmentation, sometimes referred to as a "boob job" by patients, involves using breast implants or fat transfer to enhance your breasts. Saline breast implants are filled with sterile salt water. Should the implant shell leak, a saline implant will collapse and the saline will be absorbed and naturally expelled by the body. Silicone breast implants are filled with silicone gel. If the implant leaks, the gel may remain within the implant shell, or may escape into the breast implant pocket.
A leaking implant filled with silicone gel will not collapse. If you choose silicone implants, you may need to visit your plastic surgeon regularly to make sure the implants are functioning properly. An ultrasound or MRI screening can assess the condition of breast implants. Form-stable implants are sometimes referred to as gummy bear breast implants because they maintain their shape even when the implant shell is broken.
The consistency of the silicone gel inside the implant is thicker than traditional silicone gel implants. These implants are also firmer than traditional implants.
If a shaped implant rotates, it may lead to an unusual appearance of the breast that requires a separate procedure to correct. Round breast implants have a tendency to make breasts appear fuller than form-stable implants.
Because round implants are the same shape all over, there is less concern about them rotating out of place. Smooth breast implants are the softest feeling.
Textured breast implants develop scar tissue to stick to the implant, making them less likely to move around inside of the breast and become repositioned. Discuss all benefits and risks related to your breast implant procedure with your board-certified plastic surgeon. Understanding all potential risk factors will help with better decision-making that is best for you and your health.
Allergan Biocell Device Withdrawal Information. Implant manufacturers occasionally introduce new styles and types of breast implants, so there may be additional options available. Whether you choose saline or silicone implants, it is important for you to monitor your breast implants and follow-up with your plastic surgeon for appropriate checkups. Choose a board-certified plastic surgeon and be confident you are in the care of a highly-trained surgeon you can trust.
Side boob. Whether for reconstruction or aesthetic patients, implants are very useful in changing the volume and shape of the breast; however, implants should not be considered lifetime devices.
American Society of Plastic Surgeons. Back Ask a question. Log In For Medical Professionals. My Account. Cosmetic Procedures Breast Augmentation Augmentation Mammaplasty Breast augmentation, sometimes referred to as a "boob job" by patients, involves using breast implants or fat transfer to enhance your breasts. Find a Plastic Surgeon.
Patient Safety. Table of Contents Print. Next: Risks and Safety. Find Your Surgeon. Why Choose A Board Certified Plastic Surgeon Choose a board-certified plastic surgeon and be confident you are in the care of a highly-trained surgeon you can trust. Trust ASPS. On The Blog What is the 'side boob' trend and how can plastic surgery help you achieve it? Which breast surgery is right for you? On The Vlog Breast Implant Exchange Whether for reconstruction or aesthetic patients, implants are very useful in changing the volume and shape of the breast; however, implants should not be considered lifetime devices.
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