Are there any cases of BIA-ALCL with smooth breast implants?

Question

Hi- I am wondering if there are cases of BIA-ALCL with smooth breast implants?

Donovan Rosas, MD · Answer

There has never been a documented case of BIA-ALCL in the setting of an exclusively smooth walled device. (Note: There have been cases diagnosed in patients with a smooth device and a prior history of textured device.)

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

As always, discuss your concerns with a board certified plastic surgeon (ABPS).

Jeffrey Lisiecki, MD · Answer

As yet, there have been no documented cases of BIA-ALCL in patients who were known to only have ever had smooth implants.  Some patients have been diagnosed with ALCL with smooth implants in place at the time of diagnosis, but with a history of having had textured implants in the past.

Dallas Buchanan, MD · Answer

Thank you for this question. Two important distinctions to make in regard to this question.
1) To our current knowledge, has there ever been a documented case of BIA-ALCL in someone who has only ever had smooth implants? No. This may change tomorrow, but as of now, this has not been seen.
2) Has anyone with smooth implants ever been diagnosed with BIA-ALCL? Yes. This has happened, but in the patient's history, they have had some type of textured implant in the past. So having a smooth implant does not remove the risk entirely unless you have never had a textured device.
Hope this helps!
Dallas Buchanan, MD
VIVIFY plastic surgery
Tampa, FL

Connie Hiers, MD, FACS · Answer

Yes, there are a few cases of BIA-ALCL with smooth implants, but most of these women had textured implants prior to the smooth ones.

Tatiana Luna, MD · Answer

To date, there are no reported cases of BIA-ALCL in patients with smooth implants. According to ASPS, as to 01 April 2024, 1358 cases of BIA-ALCL have been reported Worlwide, all of them being related to textured implants.

Mats Hagstrom, MD (license on probation) · Answer

Considering how many women have breast implants I’m sure there are patients with smooth implants. Who’ve had most cancers.
The question is if there is correlation.
Best,
Mats Hagstrom, MD

Are there any cases of BIA-ALCL with smooth breast implants?

Answers (6)

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