I got silicone breast implants over a decade ago, and I have recently become very sick. The only doctor I've seen so far took a blood sample and found silicone in my system. Could it be that I have silicone poisoning from my breast implants? What are the symptoms?
What Are Symptoms of Silicone Poisoning from Breast Implants?
Doctor Answers 22
Hello, I'm very sorry to hear of your sickness, however, we need to clear up some confusion. First, I don't know what tests were performed and how a doctor found silicone and in what part of your "system"? There is no test for this. Frequently on blogs and online communities that gather together women believed to be sickened by their implants, they speak of a blood test for it. It just doesn't exists. There IS a test for SILCON, which is not at all related. (Silicon is environmentally prevalent everywhere, as it is found in dirt and is used in manufacturing. It can impose a threat of lung disease with symptoms of exposure seen with inhalation of silica dust.)
Silicone has been studied by the FDA for over 30 years to establish its safety. In the 90's after years of more than 100 clinic studies, in 1999 The Institute of Medicine released a 400-page report prepared by an independent committee of 13 scientists. They concluded that although silicone breast implants may be responsible for localized problems such as hardening or scarring of breast tissue, implants do not cause any major diseases such as depression, chronic fatigue syndrome, lupus or rheumatoid arthritis, etc. Additionally, it's important to note, silicone is the most common material used in every kind of medical devices/implants and some medications. These include shunts that go from the brain to the abdomen (which are left in for a lifetime), artificial finger joints, syringes, IVs, catheters (including ones that go next to the heart), surrounding pacemakers, and even oral anti-gas tablets.
Although, it is a point of major contention, it is not an issue of plastic surgeons, including myself, not acknowledging the perception that silicone toxicity from breast implants exists. I am fully aware there are people that are still 100% convinced of silicone toxicity and continue to spread this message to the public despite any substantiated scientific evidence. I know that patients experiencing a host of ambiguous health issues of all sorts are desperate to find a source to blame, feel retribution and find a huge comfort in talking to others who feel the same. Unfortunately, there is a huge difference in a perceived problem and actual evidence of said issue. We know this, the problem is that there is absolutely no known toxicity from silicone gel breast implants and it would be irresponsible to say otherwise.
That being said, if you feel you are experiencing any health issues related or not to your implants, you are well within your rights as a patient to have them removed. I see at least 1 to 2 patients a week ready to remove and not replace and I'm happy to do it! My main concern is that they understand the cosmetic outcomes of doing so and that if they are having health issues, I can't make any guarantees removing the implants will heal them. Do some patients report a full "remission" of symptoms after implant removal? You bet! Do all of them? No, they do not. Do the majority come back in 6-12 months and have another augmentation? Yes.
Possible complications of breast implants
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To date, there is no proof of anything called silicone poisoning from breast implants. If silicone was found in your blood, it got there through another route. Older implants should be changed though since they have something called a "bleed" which is an oily fluid that comes out of them. The newer implants do not have this.
Do Silicone Implants cause poisoning ?
The one possible exception may by the PIP implant made in France (generally not available in the USA). Most of the concerns about the PIP implant were about the use of non-medical silicone and manufacturing problems, and do not relate to implants used in the United States by board-certified plastic surgeons. This is not to say that breast implants, like any implant, can have problems; they may have to be removed and are not meant to last a life time. Common reasons for replacement include: capsular contracture, rupture, infection, change in breast size, and pain—but not for toxicity.
To answer the perceived toxicity of Silicone by the general public—this is quite a different matter.
Breast implants have been around since the 1960s. About 15 years ago Connie Chung ran an exposé, Face to Face with Connie Chung, claiming silicone implants were responsible for different health problems. This led to lawsuits, a huge windfall for lawyers, and the subsequent ban on silicone implants for first-time breast augmentation patients went into effect. They were always available for breast reconstruction (e.g. after mastectomy) and replacement of existing silicone breasts. Also, please note that saline implants are still covered by a silicone envelope.
Soon after, a ban on silicone implant use became worldwide. This lasted for years until more than 100 clinical studies showed that breast implants aren’t related to cancer, lupus, scleroderma, other connective tissue diseases, or the host of other problems they were accused of causing.
June 1999, The Institute of Medicine released a 400-page report prepared by an independent committee of 13 scientists. They concluded that although silicone breast implants may be responsible for localized problems such as hardening or scarring of breast tissue, implants do not cause any major diseases such as depression, chronic fatigue syndrome, lupus or rheumatoid arthritis, etc.
The Institute of Medicine is part of the National Academy of Sciences, the nation’s most prestigious scientific organization.
Eventually, a federal judge dismissed/rejected the lawsuits, declaring them junk science and ended for the most part the barrage of lawsuits. This led to the present reintroduction of silicone implants years ago and their approval by the FDA. Interestingly enough, most of the rest of the world reintroduced them many years prior to the United States.
What Are Symptoms of Silicone Poisoning from Breast Implant
There is no medical evidence to suggest that silicone in the blood stream comes from silicone implants. Silicone poisoning is not a medical term. Silicone is found in a number of medical devices.
It is extremely unlikely that the silicone found in your system is from old breast implants. I would explore other possibilities for silicone getting into your system.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.