Is there an increased risk of breast implant illness for those who have a family history of autoimmune disease?

Question

I really want breast implants but I am worried about the risk of breast implant illness. I have read that there is a possible increased risk for those who have family history of autoimmune disease to develop BII. My maternal grandmother had rheumatoid arthritis and my father has psoriasis. I do not have any conditions (that I am aware of). My question is- should I avoid implants due to this risk, or is the level of risk low? Many thanks

Ronald J. Edelson, MD · Answer

If you have a family history of autoimmune disease you may also have an increased risk whether you get implants or not. Whether implants increase that risk we simply do not know at this time. If you’re worried about it just don’t get implants. Some surgeons might suggest fat transfer but the results are not so good.

Ram Kalus, MD, FACS · Answer

Unfortunately there remains much that is unknown about BIAI, including whether or not it actually exists. But a family history is certainly something we take into consideration, and most plastic surgeons would agree that with a family history you are probably at slightly increased risk. Remember, breast augmentation is a quality of life operation, and the most prevalent theory regarding BIAI is that the silicone (shell or gel) may act as a trigger to an immune response by the body in certain patients. If your body type is such that you may be a candidate for autologous fat transfer (fat taken from one part of your body such as tummy, thighs, or buttocks) an injected into the breasts, this may need to be repeated two or three times to achieve the desired outcome but it is the only other way to achieve a larger breast size without implants. There are other potential risks associated with this procedure and your plastic surgeon can discuss these with you.

Please consult with an experienced board certified plastic surgeon who can evaluate you in person and answer all of your questions and discuss with you all of your options. Best of luck to you.

Please consult with an experienced board certified plastic surgeon who can evaluate you in person and answer all of your questions and discuss with you all of your options. Best of luck to you.

Camille Cash, MD · Answer

Breast Implant Illness is a collection of vague symptoms thought to be related to breast implants.  When symptoms are present and the implants are removed many patients report improvement in these symptoms.  We are continually learning about BII.  At this time there is no recommendation to avoid breast implants if you have a family history of autoimmune disease.  I've included a video I hope you find helpful.

Connie Hiers, MD, FACS · Answer

There is still a lot we do not know about BII. Autoimmune disorders do tend to run in families and have a strong genetic component. They also have a strong food allergy component as well. Studies of tissue of women with BII show heavy metals in their tissue. These metals do not appear to be just from the implants, but are associated with the dyes in tattoos and hair dyes. I would avoid hair dyes and tattoos.

Is there an increased risk of breast implant illness for those who have a family history of autoimmune disease?

Answers (4)

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