ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

Meta-analysis links vitamin D deficiency with increased risk of mortality during 10.5 year median pe...

Prevent Or Reverse Diabetes: An Amazing Herbal Intervention

Exercise and Vitamin D Better Together for Heart Health

VIDEO: Essential Oils for Weight Loss

Can Valerian Root Help You Sleep Better?

Can Ginkgo Give Your Brain a Boost?

Fighting Statin-Induced Diabetes with CoQ10

Eight servings of veggies a day is clearly best for the heart

The Many Wonders of Calming Sandalwood Oil

Curcumin — A Novel Treatment Alternative for Depression

 
Print Page
Email Article

An outcome analysis of 100 women after explantation of silicone gel breast implants

  [ 40 votes ]   [ 1 Comment ]
By Peters W, Smith D, Fornasier V, Lugowski S, Ibanez D • www.ProHealth.com • July 15, 1997


A prospective outcome analysis was conducted on 100 consecutive
women who requested explantation of their silicone gel breast
implants from January 6, 1992 (the moratorium), through 1995.

Eighteen patients were referred by rheumatologists with a
diagnosis of autoimmune or rheumatic disease. Six had
autoimmune disease (systemic lupus, 2 patients; rheumatoid
arthritis, 2 patients; multiple sclerosis, 1 patient; and
Raynaud's disease, 1 patient). Twelve had rheumatic disease
(fibromyalgia, 10 patients; inflammatory arthritis, 2
patients). All of these 18 patients had developed symptoms of
their disease after they had received implants.

All 100 patients were extensively evaluated pre- and postoperatively
by interviews, clinical assessment, and by assay of the
following laboratory tests: rheumatoid factor, ESR, ANA, and
anti-Ro/SSA, -La/SSP, -Sm, -RNP, -double-stranded
deoxyribonucleic acid, -Scl-70, -centromere, and -cardiolipin.
Patients were also evaluated by a questionnaire that was sent
at a mean time of 2.7 years postexplantation (range, 1-5
years), which had a 75% response rate. Reasons for implants
were augmentation, 75%; lifting, 11%; reconstruction, 12%; and
congenital aplasia, 2%. The mean age at first implant was 28.9
years (range, 13-55 years) and at explantation was 41.5 years
(range, 25-65 years). The mean duration of implantation was
12.0 years (range, 1-27 years).

Thirty-six percent of the patients had undergone at least one closed
capsulotomy and 54% at least one open capsulotomy. The mean
reasons for explantation were suspected silicone-related health
problems, 76%; suspected rupture, 59%; breast firmness, 36%; breast
pain, 36%; and musculoskeletal pain, 23%. Before explantation
75% of the questionnaire respondees had lost some sensitivity
in their nipples following their breast augmentation. In 36%
of those 75 patients, that loss was almost complete. Loss of
sensitivity was related to capsular contracture and to pain (p
< 0.05). Following explantation there was significant
improvement in nipple sensitivity in 38% of breasts in the 75
respondees.

A total of 186 implants were removed. Fifty-seven
percent had failed by rupturing or leaking. Only 3.2%
demonstrated extravasation extracapsularly. Twenty-five
percent of the capsules were calcified, demonstrating visible
plaques of calcification on their inner surface. Forty-two
percent were colonized by bacteria. The prevalence of class
III-IV capsular contracture was 61% and it was related to
implant location, duration in situ, and capsular calcification
(p < 0.05), but not to capsular colonization or implant
integrity (p > 0.05). Only 43 of the 100 patients elected to
have saline implants inserted. Of the others, 56% felt that
the shell of the saline implant could be associated with
medical problems. The others felt that breast size was of
minor importance to them at this time. There were few
complications from the explantation procedure. Two "masses"
were discovered-one was an occult carcinoma, the other a
galactocele. There was one wound infection, which responded to
antibiotics. Three patients developed decreased sensitivity
and 3 developed increased breast pain.

From the patient questionnaires, in those women who did not have
saline implants inserted, 15% felt that their breast appearance was
improved after explantation, 36% were "pleased," 33% were
disappointed, and 13% felt "mutilated". In women who did have
saline implants inserted, 18% felt that their breast
appearance was now improved, 60% were "pleased," and 14% were
disappointed, mainly because of wrinkling. At a mean time of
2.7 years (range, 1-5 years) after explantation, 45% of the 75
questionnaire respondees felt that their implants had caused
permanent health problems and 56% felt that they had not been
given adequate informed consent by their original surgeon
(particularly regarding implant rupture and a possible
relationship to medical disease). (ABSTRACT TRUNCATED)




Post a Comment

Featured Products From the ProHealth Store
FibroSleep™ Vitamin D3 Extreme™ Optimized Curcumin Longvida®

Looking for Vitamins, Herbs and Supplements?
Search the ProHealth Store for Hundreds of Natural Health Products


Article Comments Post a Comment

Permanent diseases after silicon implants
Posted by: gvix
Jan 30, 2010
Unfortunately my mom is experiencing many of the symptoms of silicon toxicity after only two years of having the implants, perhaps because one ruptured soon after the surgery. I hope she feels better after the explantation, which is tomorrow, but I am so afraid of her having to deal with these terrible conditions. Thanks for the information about the explantation.
Reply Reply
 
NAD+ Ignite with Niagen

Featured Products

Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
Vitamin D3 Extreme™ Vitamin D3 Extreme™
50,000 IU Vitamin D3 - Prescription Strength
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid
Ultra ATP+, Double Strength Ultra ATP+, Double Strength
Get energized with malic acid & magnesium

Natural Remedies

Quercetin: Natural Support for Allergy & Inflammation Relief and More Quercetin: Natural Support for Allergy & Inflammation Relief and More
When a Negative is Positive - Goodnighties Recovery Sleepwear When a Negative is Positive - Goodnighties Recovery Sleepwear
Carry a Massage Therapist in Your Pocket Carry a Massage Therapist in Your Pocket
The Revolutionary 'Good Fat' That Promotes Heart, Brain, Bone and Joint Health The Revolutionary 'Good Fat' That Promotes Heart, Brain, Bone and Joint Health
Fatigue & Fibro Fog: Could You Have a B-12 Deficiency? Fatigue & Fibro Fog: Could You Have a B-12 Deficiency?

CONTACT US
ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
SHOP WITH CONFIDENCE
Credit Card Processing
SUBSCRIBE TO OUR NEWSLETTERS
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2017 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map