Every patient undergoing breast augmentation should be aware at the time of consent of the pros and cons of breast augmentation. Atypical symptoms can occur with or without implants and there is no evidence to suggest that breast implants are the cause of these symptoms. An investigation into the autoimmune issues by the FDA has been performed and the link is attached.There are certainly patients who do have atypical symptoms and autoimmune issues that are having explantation and pts need to be aware that this can occur with breast implants even though there is a lack of evidence to suggest that breast implants are the causation.The incidence of these symptoms is documented clearly in the FDA link. Fibromyalgia risks are also clearly documented.
Silicone implants can adversely affect patients with certain HLA types right away (any silicone in the body causes this) such as HLA B27 and HLA DR53. Most silicone toxic patients have detoxification defects such as MTHFR and COMT and cannot methylate or sulfonate hydrophobic chemicals. Many implants leak sooner and most implants leak at 8 to 10 years due to a lipolysis reaction of the shell (engineering data by Dow Corning). Certain saline implants have defective valves especially after trauma and with mold exposure, mold can grow in and around the implants leading to sick building syndrome in 25% of the population. The end result of the last two is fibromyalgia due to yeast overgrowth with silicone and mold with saline. The first leads to autoimmune diseases that are atypical. There is a great deal of peer reviewed literature supporting these clinical observations, but plastic surgeons in general are resistant to the idea that implants are associated with disease.