The book "The Naked Truth About Breast Implants From Harm to Healing": is it true that implants are toxic?

Are Silicone Implants Toxic?I think you have to answer this question in two ways:First, to address the perceived silicone toxicity by the public/patients which has not been substantiated by scientific studies and would be rare if it occurred at all.Secondly you have to address if they have ever been proven to be toxic.The first question is easy to answer: there is no known toxicity from silicone gel breast implants. It has been studied by the FDA for more than three decades to establish its safety. Silicone is the most common material used in medical devices/implants. Examples include shunts that go from the brain to the abdomen (for hydrocephalus) 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.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.

Breast implants are safe.  Saline and Silcone implants both they are one of the most studied medical devices.  There can be complications with the surgery.  But multiple studies have shown no toxicity of implants and no connection to auto immune disease.  Complications can occur from surgery such as infection, hematoma and capsular contracture but are rare.  There are multiple medical studies documenting the safety of implants.  It is true that some patients with implants develop autoimmune or other diseases but study after study has shown the implants are not the cause.  

Breast implants are among the most tested of medical
devices. No other medical device has been studied to the extent that breast
implants have. Extensive studies of tens of thousands of women with breast
implants have shown that both saline and silicone implants are safe. They do
not produce a higher rate of cancer or autoimmune disease. After vigorous
evaluation by the FDA, both are approved for cosmetic and reconstructive usage.

The majority of patients having breast augmentations are very pleased with
their results. No one should enter into that procedure with the idea that the
implants will last forever or that they may never need another breast surgery.
There are a variety of reasons why a woman would have a secondary procedure: to
alter the size of the implants as the patient ages and the size and shape of
the breast naturally change, to correct the effects of pregnancy on the
breasts, weight fluctuation, the implant can form a capsular contraction around
it which produces a hardening, or the implant may leak. No one can guarantee
the life cycle of an implant.

Robert Singer, MD FACS

La Jolla, California

SIliicone breast implants are probably the most investigated product ever studied by the FDA.  The research demonstrated a lack of evidence of autoimmune or toxic issues with implants.  Yes, one can get an infection but that is with any foreign body.

To answer your question, yes, breast implants are quite safe. The negative spin placed on breast implants by the author of your book is unfounded and unsupported by any legitimate scientific data. Each year, in the U.S. alone, approximately 480,000 women undergo breast augmentation with placement of breast implants. That number is growing each year. These numbers allow for tremendous amounts of data to be collected and followed regarding these procedures and the implants used. Breast implants, placed by an experienced Plastic Surgeon, Board Certified by the American Board of Plastic Surgery are indeed quite safe and pose no known health risk with any certainty. If you're interested in learning more about this procedure, schedule a consultation with a Plastic Surgeon. During your consultation, your surgeon can discuss the pros and cons of this procedure with you. With sound information and education, you can then decide whether or not breast augmentation is right for you. Good luck!