Even intact implants may “sweat” silicone, and that may “chronically irritate the capsule and stimulate the lymph system,” Funk says. One theory is that silicone, which has been found in scar tissue cells around the implant, triggers growth of infection-killing T-cells, says William Maisel, M.D., the FDA’s chief scientist. They typically experienced these symptoms years after the surgery, the FDA reports. In most cases, the cancer was diagnosed when women sought medical attention for pain, asymmetry, swelling, hardening of the breast area around the implant, or masses surrounding it. Still, plastic surgeons warn women with implants to be aware of any changes to their breasts, Poore says. “I would worry more about dying of a snake bite or a bee sting,” Funk says. Because it’s so rare, doctors say women shouldn’t rush to have their implants removed. each year, but occurs in the breast in only 3 out of 100 million women. It’s diagnosed in about 1 out of 500,000 women in the U.S. It can show up anywhere in the body, not just in the breasts, according to the FDA. The cause of this rare immune-system cancer is unkown. Cancer Breast implants may be associated with anaplastic large cell lymphoma (ALCL), according to new findings announced by the FDA in January 2011. If they don’t work, you’ll need to have the implants removed and replaced after recovering completely from the infection. Infection-fighting antibiotics are deployed first for treatment. Watch for symptoms like a fever and heat radiating from the breasts. Because the devices lack their own blood supply, they can’t fight infection, says Susan Downey, M.D., associate clinical professor of plastic surgery at the University of Southern California. Implants – like most foreign objects – attract bacteria. Infection It’s not common, but some women end up with a serious infection within a few weeks of breast implant surgery. He may recommend removing and replacing the implant.
If you experience any of these symptoms, immediately see your doctor. Silicone implant ruptures aren’t always as obvious, but signs may include hard knots or lumps around the implant or in the armpit, a change in size or shape, pain, tingling, swelling, numbness, burning or hardening of the breast.
“You go from having a breast, to not,” Funk says. Your body absorbs the liquid and it’s harmless, unless the implant contains fungus or bacteria, which can cause infection. Saline implants can deflate right away or over a few days, like a balloon losing air, according to the FDA. This can happen during implantation or puncture by surgical instruments, but also from causes such as normal aging, biopsies or fluid drainage, even compression during a mammogram, though that’s rare. Rupture and deflation Yes, breast implants can rupture or deflate. With capsular contracture, implants usually have to be removed and replaced, “particularly if the breast is hard, painful and looks abnormal,” Poore says. In a 2009 report by Mentor Corporation, a top manufacturer, about 8% of first-time silicone augmentation patients had severe capsular contracture up to three years after surgery, and 19% of revised-augmentation patients had it within three years. Scar tissue forms whenever implants are surgically placed under breast tissue of chest muscle.Ībout 25%-30% of patients with saline implants get capsular contracture within three years of breast implant surgery, according to a 2000 report by breast-implant manufacturers ordered by the Food & Drug Administration (FDA). Capsular contracture The most common problem, capsular contracture, occurs when scar tissue, or a “capsule,” forms around an implant and becomes so tight it causes pain. “Know about the risks, and make good choices based on sound data.” Here are 6 complications to watch out for: 1. “Before undergoing breast implant surgery, it’s important to read a lot, talk to surgeons and be informed consumers,” says Samuel Poore, M.D., Ph.D., assistant professor in the Division of Plastic and Reconstructive Surgery at the University of Wisconsin-Madison. “All you have is skin, muscle and implant, whereas saline sometimes ripples under muscle.” Some women also complain saline looks less natural than silicone implants. “Silicone is the implant of choice,” says Kristi Funk, M.D., a Los Angeles breast cancer surgeon and founder of the Pink Lotus Breast Center. The two main types are: silicone breast implants, pre-filled with silicone gel that look and feel more like human tissue, and saline implants, filled with saline at the time of surgery. Reconstruction surgery rebuilds a breast’s shape after a mastectomy. Breast augmentation is a surgical procedure to increase breast size.
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