Silicone gel implants and autoimmune disorders

Marcel F. Daniels, MD answers: Silicone breast implants on women with autoimmune disorders?

Silicone breast implants do not cause a woman to be more likely to develop an autoimmune disease any more than a woman without implants. However, why does the Mentor say on their website, "Precautions: Safety and effectiveness have not been established in patients with the following: autoimmune diseases (for example, lupus and scleroderma)". So, can silicone implants make an existing autoimmune disease worse? I have Hashimoto's which shows as hypothyroidism. Does that mean I should not get breast implants? I can't find any article on the web at all addressing women getting silicone implants who already have an autoimmune disease. Thanks!

Marcel F. Daniels, MD
6 months ago

Statistics are one your side. There does not appear to be any difference in the incidence of autoimmune disorders in women with silicone gel implants and those without implants. That having been said, rhuemtologist colleagues of mine feel that autoimmune disorders may have a variety of triggers (pesticides, etc.) so, in theory, silicone gel implants could trigger a response in the rare case which would not show up statistically. In eighteen years of private practice, I have yet to come across a woman whose preexisting autoimmune disorder got worse after gel implants. And even if it did, it would be tough to lay the blame on the implants because the causes can be multi-factorial. I know you are looking for absolutes but there are none here. Odds are if you got gel implants you would do well.

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