Do Silicone Breast Implants Cause Autoimmune Disorders?
- Asked by zinia in india
- 4 years ago
I would want to undergo a breast augmentation and the doctor wants to use silicon gel implants. I am a bit worried about the longevity of the implants and about autoimmunity issues which might occur after surgery. Could you please answer my queries? Thanks.
Silicone breast implants causing autoimmune disorders
Had you asked this question in 1991 - we would not have had a good answer for you. But, in the almost 20 years that followed, hundreds of studies have proven the silicone gel implants do NOT cause autoimmune disease. Period. No more so than any other implant does. (Personally, I think it is a national embarrassment that breast implants have been the MOST studied and scrutinized device in medical history; more than pacemakers, defibrillators, hip and knee joints etc. Are breast implants REALLY that more important? You can thank our trusty American lawyers for this huge waste of research funds)
The problem that we Plastic surgeons have is that there is no doubt that a small number of women come down with autoimmune disease. BUT - every scientific study done to date has failed to show a causality or even an association with silicone gel implants.
This has been recognized by the FDA. This has been recognized by the European Common Market and even by the Judge in Birmingham,Alabama who was overseeing the distribution of extortion funds in the Dow Silicone gel lawsuits - he gave specific instructions that the pejorative terminology "silicone disease" etc could not be used in his court room.
Silicone gel implants, like all implants, have their pluses and minuses. Autoimmune disease is NOT a consideration these days.
I hope this was helpful.
Silcone implants and autoimmune disease
This has been a majopr concern in the past. However, many more recent studies have not demonstrated any link between autoimmune disease and silicon implants. This does not mean that they will not form together but more likely that they are not causally related.
Silicone implant safety
There is no data that suggests that silicone breast implants actually cause autoimmune disorders. Furthermore, the current breast implants are more cohesive than the older ones, and the silicone will stay within its shell in the event of a rupture.
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No correlation has been found between silicone implants and autoimmune
After extensive research the FDA granted approval for the use of silicone implants in 2006. All that research has found no connection between silicone implants and autoimmune disorders.
Silicone Implants Don't Cause Autoimmune Disorders But:
The short answer to your question is no! Silicone implants have never been associated with autoimmune disorders by a proper study published in a reputable journal.
In fact many studies have now been done by investigators who were looking for an association and none has been found. Many of these investigators probably had a bias toward proving there was an association, but could find none.
So don't worry about autoimmune disorders. They just aren't going to happen, at least because of your silicone implants.
On the other hand silicone implants can and often do eventually leak after many years. The operation to replace them when they do leak is more involved and requires some additional recovery time. Sometimes leaks can go unnoticed and the FDA has recommended MRI every 5 years to check them.
What this really means is there is more maintenance and responsibility that goes with having silicone implants.
I use these implants frequently, especially in thinner patients as I feel they give a superior result. I avoid them in patients who are worried about the idea of having a silicone implant. My patients who have them are quite please with their results and note they feel more life like.
For those who are worried or never want to deal with the above maintenance issues, saline implants remain an excellent choice and give a good result in all but the thinnest of patients.
The safety of silicone gel breast implants
Let's cut through it all: no study published in a proper medical journal has shown any association - let alone causation - between silicone gel filled breast implants and any systemic disease. None. Period.
BUT, as some skpetics would argue, the study sizes were never large enough to prove the absence of any risk. Of course, that argument could be levied against any study...if something happens 1 in 100,000 times and you only studied 10,000 people, you wouldn't expected to see it...even if you studied 100,000 or 200,000, you might not see it. Simply put, it takes huge numbers to prove something can't ever happen.
As of today, you won't find a respected study in any legitimate medical journal that shows an association between today's breast implants and any disease. All you can find that is negative is anecdote, unreferenced articles in non-medical journals, or studies based upon surveys of women. None of these pass scientific muster.
In the worst case scenario, if there were a risk, it would be extremely small. But how small is small? To those who thinkt here is no benefit to implants, then on a risk benefit ratio, since there is no benefit, then any risk would be too great.
When I discuss this with patients, I basically say this: There is no evidence that shows a link between silicone implants and any disease. But that doesn't mean there couldn't be a tiny risk. If you are worried about that very unlikely risk, or if you are the type to worry about it, or you are going to get freaked out by a non-scientific article you read in a holistic yoga magazine or teh like, then you quite simply can't put them in your body. If you have doubt, just use saline...or get nothing at all. But if you are comfortable with the fact that after having been the most studied medical device in history no evidence of a problem with autoimmune diseases have been shown, then you can consider proceeding.
Web reference: http://www.drteitelbaum.com
Silicone Breast Implants and Autoimmune Disorders
After 14 years of studies it has very well been proven that silicone implants do not cause autoimmune disorders. So you may rest assured, as the FDA released the use of silicone implants to the public in 2006.
Web reference: http://www.feplasticsurgery.com
Longevity of silicone breast implants
Silicone implants can last a lifetime! However, the current rupture rate is about 1%/year cumulative. So, you will most likely need to replace them at one point in the future. Also, three very well run studies have proven that your risk of getting an autoimmune disease with silicone implants is the same as the general population. The FDA also approved the use of silicone implants for cosmetic surgery several years ago, so you can feel safe in your decision to get silicone breast augmentation. Good luck!
Web reference: http://www.DrSchreiberPlasticSurgery.com
In 1992 the implants were pulled from the market due to health concerns including autoimmune. They were re-released for use in the general public in 2006 after extensive study. The results are that they do not cause autoimmune disease.
Silicone implants and autoimmune disorders
NO, there has been extensive prospective randomized studies showing that there is no increased risk of developing autoimmune disorders when you have silicone gel implants.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.