Concerns with Silicone Breast Implants Safety
- Asked by helptoknowplease in Moscow
- 4 years ago
If silicone breast implants are safe, why does it need to be removed once ruptured and sometimes with breast tissue? Silicone implants consist of many ingredients. How do I know I will be fine? I am not even considering explantation without replacement once implanted.
Silicone implants and safety
Thanks for the question. Silicone implants as with saline implants are extremely safe. Extensive clinical research has been conducted on silicone implants with the conclusion that there is no definitive link between connective-tissue disease and silicone implants. Additionally, if one looks at the systemic concentrations of silicone secondary to having breast implants versus the typical day-to-day exposure to silicone found in commonly used products such as deodorants, the latter far surpasses silicone implants in regards to its cumulative systemic concentrations.
If a silicone implant were to rupture, the concern is that if the ruptured silicone may permeate beyond the breast capsule, with subsequent exposure into surrounding tissue, potentially necessitating its removal. The gel implants that are currently available are filled with a "cohesive" gel material which essentially means that the gel is semi-solid as opposed to semi-liquid. Subsequently, in the event of a rupture, the gel inside will tend to remain within the confines of the shell thus minimizing the permeation of silicone into local breast tissue.
If you have further questions or concerns regarding safety issues of silicone gel implants, I recommend you consult with your local plastic surgeon. Best of luck !
Are silicone breast implants safe?
When silicone or saline breast implants rupture, we always want to take them out. For saline implants, there is just no reason to leave them in and most people want them out or exchanged. For silicone implants that rupture, the silicone is usually still contained within the capsule that your body normally forms around the implant. Sometimes, the silicone can break through the capsule and into the breast tissue. In those cases (very rare), we try to remove all the silicone since it is an inflammatory component and can cause scarring. I hope this helps to answer your questions. Good luck.
Silicone implants and ruptures
Hi, we remove ruptured silicone implants because the gel can cause inflammation and scarring of the breast. This can sometimes become a capsular contracture, in which the tissue contracts and can be painful. The material itself however will not migrate through the body or cause disease. Best wishes, /nsn.
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Concerns with silicone breast implants safety
Russia these days has some of the richest men on earth and yet when it comes to regulation of medical implantables and injectibles it is still a bit of a Wild West. (Just speak to Turkish plastic surgeons who are asked to operate on some Russians). This is NOT to say that Russian plastic surgeons are in any way inferior to Americans. It has to do with which implants are used on the market.
So I will be assuming you are having American made implants (Mentor or Allergan) - the implants which we use here.
Since 1991, breast implant s,gel ands saline, were MORE extensively studied in the USA than ANY implant in the history of medical science. Hundreds of millions were spent to find and report all complications all adverse effects. They were studied more than pacemakers, catheters, heart valves, defibrillators, hip and knee joints - EVERYTHING. They were found to be safe and effective.
But - like every man-made device (your roof, car, planes, heart valve, TV etc etc) have a life time. In the case of implants, the shell weakens and they will deflate. With gel implants is is very hard to KNOW WHEN they deflate. Some women have vague symptoms, most do not. The only easy way to tell is to have a MRI (looking for a "spaghetti sign"). Because the gel is so cohesive and sticky the easiest way to get the implant and gel out is to peel the implant just outside the scar that formed around it, the capsule, and shell it out. When the shell is heavily scarred (seen with old models) some breast tissue is removed to allow this EXTRACAPSULAR DISSECTION to be done.
If you are REALLY worried about it - it is not scientifically based - but then just have saline implants.
Do what makes you happy.
I hope this was helpful.
Issues related to silicone implant safety
The previous posts have done a good job of emphasizing that silicone is safe and nontoxic, so I will address your other questions more specifically. First, the term "rupture" isn't really accurate since it sounds like the implants are prone to exploding, which of course they do not. In fact, when there is a hole that develops in the outer shell, it is a silent and harmless event. There are actually studies where MRI showed a "rupture" and the patients decided to do nothing, since their breasts still felt and looked OK. On follow-up years later, nothing of consequence happenned. So the advice to remove them in the case of rupture is just that: advice.
Secondly, there really aren't that many ingredients in silicone implants: just silicone. Since it is a polymer molecule, it can be in either a liquid, gel, or rubber, like the outer shell. The gel used in implants today is cohesive, meaning that it is a semisolid which is not prone to migrating if the shell ruptures.
Studies have indicated what most plastic surgeons have known all along- silicone breast implants are not linked with health issues. Basically, you want toget saline and silicone implants out when a rupture is detected. Sometimes in either case it is required to remove the capsule (contracture, sub-optimal appearance, or in the case of silicone implants, to try to keep the silicone localized within the capusle). A small amount of breast tissue usually is removed with the capsule, can't help that.
As the others have indicated, your comfort with the implant is key. None of us is here to convince you of anything. Remember, you don't "need" implants, you want them. You don't have to have silicone. Go with what you feel comfortable with, or none at all. Any way you go, it is fine.
Risks of Silicone.
If you have anxiety regarding these implants, no amount of reassurance may ease your mind. Furthermore, you may experience anxiety if you have lingering questions. In this event you may want to consider saline but even these implants have an outer shell made of silicone. However, this has been reviewed multiple times and no serious medical concerns have been discovered. Why remove the silicone? It is a viscous material that people generally prefer to have removed but some experts have claimed that leaving it alone will have few serious consequences.
I am providing a link to the executive summary of the Institute of Medicine report. This is an abstract of a 400 page report if you would like to read it. It was originally published in 1999 and ongoing studies have not demonstrated any serious adverse health consequences.
Removing a ruptured silicone implant is a matter of surgical preference to remove the implant and the involved tissues.This is my recommendation to patients.
Web reference: http://www.fjc.gov/BREIMLIT/SCIENCE/summary.htm
Silicone breast implants are safe
Unequivocally, silicone breast implants are safe. Over the past 15 years, many large and rigorous studies have been performed investigating whether silicone breast implants are associated with autoimmune diseases or any types of cancer. All studies performed reached the same conclusion; there is no conclusive data supporting any link between silicone implants and these diseases. Only after carefully considering these scientific studies did the U.S. Food and Drug Administration approve the use of silicone breast implants in all women for breast reconstruction and in women over the age of 22 years for cosmetic breast augmentation.
A breast implant rupture is easy to detect when the implant is filled with saline; the breast tends to deflate rapidly, in the span of a few days. A silicone breast implant rupture is much more subtle to detect. For that reason, the Food and Drug Administration recommends an MRI to monitor for rupture, the first one 3 years after surgery, and then every 2 years thereafter. If an implant were to rupture, the likelihood of developing a capsular contracture, or pathologic scar tissue around the implant, goes up tremendously. A thick capsule tends to make the breast hard and overly round, not to mention can cause pain. If that develops, the implant and the capsule around the implant needs to be removed.
Hope this helps. Best of luck.
Silicone breast implants are very safe. If the implant ruptures, it is best to remove the contents and replace them with implants protected by the shell. The shape will better and the material will not migrate.
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.