Hypoallergenic Breast Implant Alternative?

Question

I think I am allergic to my breast implants.  Is there an alternative? I have had bilateral mastectomies, one w/ TRAM reconstruction and other w/ Latitmus.  I just got implants in both sides and am having a bad reaction (eczema).  Is there an alternative to the standard implants?  What are my options?

Sam Speron, MD, FACS · Answer

Hi,
Thank you for your question.
If you just had your surgery, you could be having a reaction to several other things such as anesthesia, sutures, garments, etc., not necessarily the implants. Also, it is very rare to have an allergic reaction to implants, but it could potentially happen. Silicone is used in many other products, so if you were allergic to it, you probably would have noticed it by now. Regardless, it would be best to have you doctor exam you to be safe. It would also be nice to know what is trigering the eczema so you don't have to worry about an alternative for your implants.
There are other implants with different shells and fillings. However, these are only used in clinical trials right now.

Michael C. Edwards, MD, FACS · Answer

In all of the years I have cared for women with breast implants I have yet to encounter a patient who is allergic to her implants. To my understanding there is no medical literature to support that either. You would probably benefit from seeing an allergist or a dermatologist who should also be able to reassure you that you are OK with your implants. The alternatives you mention are there but not commonly used in cosmetic cases. Lastly, discuss these changes with your plastic surgeon who will want to be aware of the findings from your consultations with the other physicians. Best of luck.
Dr Edwards

Lavinia K. Chong, MD · Answer

Structural fat grafting +/- BRAVA system is a technique you should keep on your radar.  The ASPS (American Society of Plastic Surgeons) and ASAPS (American Society of Aesthetic Plastic Surgeons) are beginning to study this so that the indications, risks, benefits, complications, etc. can be better understood and the technique matched with patients who will most benefit. 
Structural fat grafting is harvesting fat by liposuction and grafting it into areas, which are deficient.  BRAVA is an external tissue expander, which is worn over the chest a minimum of 6-8 hours/night.  The system promotes skin and fat "growth", on the order of 1/2-1cup size, which is allegedly sustained.  Dr. Roger Khouri, M.D. of Miami is the leading exponent of this technique.  As a breast cancer patient, your insurance company should be informed that this is an alternative technique.
I would also recommend that you consult with a Dermatology for your eczema, prior to starting treatment with the BRAVA system, which can exacerbate any underlying skin conditions.  good luck.

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