Could I have allergies to silicone implants?

Question

Hello, I had breast implants done in May 2014. In December of that same year I started developing hives. I have never had hives or allergies to anything in my life and even though I have had diabetes since I was 19 years old, I have lived a fairly healthy life. It is now February and the hives have pretty much taken over my life. I can't function. I can't sleep. I am at my wits end. Please help!!! Could I be allergic to the silicone implants?

Vincent N. Zubowicz, MD · Answer

You cannot be allergic to silicone gel implants. They do not generate any immune response. Your hives are not related to your breast implants.

Robert F. Centeno, MD, FACS · Answer

Thank you for your question.  Silicone is a very inert substance that is used in many different forms of medical implants and household products.  An allergy to breast implants causing hives is very unlikely.  You may have developed a new allergy or an autoimmune condition that causes hives.  Consult with an allergist or rheumatologist for further assistance in managing this condition. Best wishes.

Matthew H. Steele, MD · Answer

Thanks for your question.  I am sorry to hear about your hives.  No, it is very likely impossible to allergic to silicone implants.  They have been tested and studied in hundreds of thousands of women without evidence of causing cancer, allergies, autoimmune disorders, etc.  Silicone is widely used in medical devices without any reported allergies.  Silicon, is the primary element that is used to make silicone.  On the periodic chart of elements, it sits in the same family as carbon, which is essential for life as we know it. Therefore, it acts/behaves in a very similar way.  I suggest that you seek the help of a board certified allergist for a RAST test or skin testing to try and elucidate the source of your hives.  Good luck.

Connie Hiers, MD, FACS · Answer

It is very unlikely that your hives are related to your implants. However, you might want to be checked for food allergies. Also, you may want to consider what is in your bedroom--carpet and drapes. I suggest that you see an allergist and let him/her help you.

Gavin Sandercoe, MBBS, FRACS · Answer

Hi RameshaminiAllergy to the silicone shell of implants is very rare, but it is possible. Remember that even saline implants have the same silicone shell as silicone gel implants. There is a very small cohort of women that do poorly with silicone breast implants. I have encountered a few patients (all breast reconstruction) that have nothing but drama when we have attempted to use breast implants. You & your surgeon would never have known that you were prone to this reaction prior to your operation.If you are still keen on breast enhancement, maybe fat grafting is the better solution for you.Your best bet is to get formally tested by an Immunologist before rushing to remove your implants. You may find that your allergy is to something else in your environment.Good LuckDr Gavin Sandercoe

Robert E. Zaworski, MD (retired) · Answer

It is highly unlikely that you are allergic to your breast implants.  See your Plastic Surgeon for his recommendation.  He may want to remove them to be cautious.  Best wishes!

Could I have allergies to silicone implants?

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