Is it safe to get silicone or saline implants with metal allergy?

Your question interested me to look at some medical data.  According to the FDA, platinum metal is used in the manufacturing process of breast implants.  The FDA scientists "did not find evidence that platinum caused breast implant illness."  There was NO mention of other metals in the FDA or implant manufactures product information.Another, option for breast augmentation is fat grafting -using one's own fat for breast enhancement in appropriate candidates.

Hi heatherann91xo and thank you for your question.  In my 20+ years of experience I have never heard of, or seen, a reaction to silicone or saline breast implants due to a metal allergy.  If you are concerned, I would discuss this with your board certified plastic surgeon but I do not believe that a metal allergy is a contraindication to breast augmentation surgery.  I hope this helps and I wish you all of the best.

There should not be an issue with metal allergies and the implants you are considering.  Breast implants don’t have metal in them 

Yes, there shouldn't be any interaction.   I recommend an in-office examination as well as a detailed discussion with a surgeon who you are comfortable with.   Finally, make sure your surgeon is a Double-Board Certified Plastic Surgeon certified by the American Board of Plastic Surgery (ABPS), a member of the American Society of Plastic Surgery (ASPS), a member of the American Society of Aesthetic Plastic Surgery (ASAPS), and a fellow of the American College of Surgeons (FACS).Best,Dr. DesaiBeverly Hills Institute for Aesthetic Plastic SurgeryHarvard Educated, Beverly Hills & Miami Beach TrainedDouble Board-Certified, Double Fellowship-Trained Beverly Hills Plastic Surgeon

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  It would be extremely unlikely that you would have a reaction to a smooth silicone implant.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

Some implant companies use a palladium catalyst in making the rubber shell of the implant. But a catalyst is a chemical that helps the reaction but not become part of it. So the rubber itself should not have any residual. There's risk. It's not huge.

In my experience there's no interaction between silicone implants and the body for those with metal allergies.  You could always ask your surgeon to check in with the medical affairs department of the manufacturer if you want to be certain.

Hi there,Silicone implants have been used for about 50 years and their safety is well established.I am not sure where the list you posted is from but it is not evidence based.Your metal allergy is no reason not to proceed with your surgery.Best wishesRichard

I took at an article for your review
Breast Implant Rupture: Causes, Incidence, Clinical Impact, and Management
Handel, Neal M.D.; Garcia, M. Emily Ph.D.; Wixtrom, Roger Ph.D.
Plastic & Reconstructive Surgery: November 2013 - Volume 132 - Issue 5 - p 1128–1137doi: 10.1097/PRS.0b013e3182a4c243Cosmetic: Original Articles

This is the section of the article
Potential Health Implications of Rupture
As noted above, ruptured silicone implants may or may not be associated with local symptoms, such as palpable masses within the breast, axilla, or adjacent areas (e.g., subcutaneous tissues of the chest and abdomen). Sometimes, patients experience a change in breast shape or volume. Ruptured silicone implants may also be associated with pain, tingling, swelling, numbness, burning, or hardening of the breast.30 A recent animal study by Moyer and colleagues suggests that rupture may also contribute to greater capsule firmness and potentially capsular contracture.37 The overall body of evidence does not support a link between rupture and connective tissue disease or cancer.38 There was a recent report in France of a woman with ruptured Poly Implant Prothèse implants who developed anaplastic large-cell lymphoma. However, there is no evidence to suggest any direct link between rupture of silicone-gel implants and anaplastic large-cell lymphoma, as anaplastic large-cell lymphoma has also been reported in patients with saline-filled implants.39

also the article further states.....
When it comes to making recommendations for asymptomatic patients with suspected implant rupture, several factors should be considered. Some of these factors are implant-dependent, whereas others are patient-dependent. It is widely recognized that simple exposure to silicone outside the elastomer shell does not increase the risk of immunologic disorders,41–44 breast cancer,45 or other tumors.46 Therefore, the issue is whether silicone is likely to spread beyond the confines of the periprosthetic capsule and cause local, regional, or distant “symptoms” that are troublesome to the patient. This is dependent in large measure on the physical characteristics of the silicone gel used in any given device. There have been literally hundreds of different types and styles of silicone implants introduced over the past 50 years. In recent generation devices, the gel is more highly cross-linked, more cohesive, and may be less likely to disseminate beyond the confines of the capsule compared with older generation devices.

Another article:
Five-Year Safety Data for More than 55,000 Subjects following Breast Implantation: Comparison of Rare Adverse Event Rates with Silicone Implants versus National Norms and Saline Implants
Singh, Navin M.D., M.B.A.; Picha, George J. M.D., Ph.D.; Hardas, Bhushan M.D., M.B.A.; Schumacher, Andrew Ph.D.; Murphy, Diane K. M.B.A.
Plastic & Reconstructive Surgery: October 2017 - Volume 140 - Issue 4 - p 666–679doi: 10.1097/PRS.0000000000003711Breast: Original Articles

Conclusions: Results from 5 to 8 years of follow-up for a large number of subjects confirmed the safety of Natrelle round silicone implants, with no increased risk of systemic disease or suicide versus national norms or saline implants.

SO THE DATA CONTINUES TO SUPPORT THE SAFETY OF BREAST IMPLANTS.  I HOPE THIS HELPS.

Dr. Dillon

Heatherann,There is no metal in silicone breast implants.  You are fine to go ahead with your surgery.Best of luck.Dr T