Breast implant illness symptoms

Breast augmentation has long been a popular option for individuals seeking to boost their appearance or reconstruct their breast tissue following mastectomy or injury. While many people experience satisfaction with their breast implants, a growing number report experiencing a range of concerning symptoms. This phenomenon is called Breast Implant Illness (BII). In this blog, we will delve into the complexities of breast implant illness, its symptoms, diagnosis, and treatment options.

Breast Implant Illness: A Closer Look

Breast Implant Illness (BII) is a term used to describe a spectrum of systemic symptoms reported by individuals with breast implants, both saline and silicone. While BII is not an official medical diagnosis, it is widely recognised in social media groups, among patients, and among some cosmetic surgeons. The symptoms associated with BII can vary widely, making it a condition that presents significant diagnostic and treatment challenges.

Recognising the Signs of Breast Implant Illness

Individuals with breast implant illness report a wide range of symptoms, which can either be physical or psychological or both. Some of the most common symptoms include:

Chronic Fatigue: Persistent, unexplained fatigue that is not relieved by rest.
Joint Pain: Pain in the joints, often described as aching or stiffness.
Muscle Pain: Generalised muscle pain or weakness.
Brain Fog: Difficulty concentrating, memory loss, and mental fatigue.
Hair Loss: Thinning or loss of hair.
Breast Pain: Discomfort or throbbing pain in the breast area.
Autoimmune Symptoms: Symptoms resembling autoimmune conditions like lupus or rheumatoid arthritis.
Skin Rashes: Unexplained rashes or changes in skin texture.
Weight Changes: Unanticipated weight gain or weight loss.
Chest Pain: Pain in the chest or surrounding areas.
Gastrointestinal Issues: Symptoms similar to irritable bowel syndrome, such as bloating, constipation, or diarrhoea.

These symptoms can develop months or even years after the initial breast implant surgery, making it difficult to associate them with the implants directly.

How is Breast Implant Illness Diagnosed?

Diagnosing breast implant illness is challenging due to the absence of precise diagnostic criteria and the broad range of symptoms similar to those of other illnesses. Here are some steps that can be taken to diagnose breast implant illness:

Medical History: A comprehensive analysis of the patient’s medical history, including any personal or family history of autoimmune conditions or other illnesses, is crucial.
Physical Examination: A comprehensive physical examination assesses the patient’s overall health and identifies any signs of illness.
Lab Tests: Blood tests to check for markers of inflammation, autoimmune activity, and other abnormalities.
Imaging Studies: Imaging studies, such as MRI or ultrasound, to evaluate the condition of the breast implants and surrounding tissues.

The Role of Implant Surface and Surrounding Scar Tissue

The implant surface type and surrounding scar tissue development, known as capsular contracture, can influence BII symptoms. Capsular contracture develops when the scar tissue that forms around the implant tightens, causing pain and changes in breast appearance. This condition can exacerbate BII symptoms and complicate the diagnosis.

Exploring Treatment Options for Breast Implant Illness

Once breast implant illness is suspected or diagnosed, the primary treatment option is typically implant removal. There are several surgical approaches for removing breast implants:

En Bloc Resection: This procedure involves the removal of the implant along with the surrounding scar tissue capsule in one piece. This method is often preferred to ensure that any potential irritants are fully removed from the body.
Explant Surgery: Simple removal of the breast implants, which may or may not include the removal of the surrounding scar tissue.
Implant Replacement: In some cases, patients may choose implant replacement with a different type of implant, though this is less common for those experiencing BII.

Potential Benefits and Outcomes of Implant Removal

Many patients report significant improvement or complete resolution of their symptoms following implant removal. The degree of symptom relief can vary; some may experience symptoms even after removing the implants. Patients must have realistic expectations and discuss potential outcomes with their cosmetic surgeon.

The Role of Cosmetic Surgeons and Patient Advocacy

Cosmetic surgeons play a critical role in recognising and addressing breast implant illness. Increasing awareness and education among healthcare professionals about BII is essential for improving patient outcomes. Patient advocacy groups and social media communities also provide valuable aid and resources for individuals experiencing BII.

Ongoing Research and Future Directions

Research into breast implant illness is ongoing, with efforts focused on understanding the exact cause and mechanisms behind the condition. This includes investigating the potential role of silicone gel, the immune system, and other factors that may contribute to the development of BII. As the medical community delves deeper into this intricate condition, there is hope for developing more precise diagnostic tools and improved treatment options.

Personal Stories and Social Media Groups

Many individuals with breast implant illness turn to social media communities and online platforms to share their experiences and seek support. These communities provide a platform for patients to connect, share information, and advocate for greater recognition of BII. Personal stories highlight the various ways in which BII can manifest and the impact it can have on individuals’ lives.

Importance of Informed Decision-Making

Given the potential risks associated with breast implants, it is essential for individuals planning breast augmentation or reconstruction to make informed decisions. This includes understanding the potential for developing breast implant illness and weighing the benefits and risks of the procedure.

Key Considerations Before Getting Breast Implants:

Medical History: Discuss any family history of autoimmune conditions or other health issues with your healthcare provider.
Types of Implants: Be aware of the different types of implants available, such as saline vs. silicone gel-filled implants, and their respective risks.
Surgical Procedures: Understand the various surgical options, including breast augmentation, breast lift, and reconstruction, and the potential complications associated with each.
Long-Term Implications: Consider the long-term implications of breast implants, including the possibility of requiring future surgeries for implant replacement or removal.

The Psychological Impact of Breast Implant Illness

Breast implant illness not only affects physical health but also has significant psychological and emotional impacts. Many individuals report feelings of anxiety, depression, and frustration as they navigate the uncertainty of their symptoms and seek validation from the medical community. Support from mental health experts and patient support groups can be invaluable in managing the psychological burden of BII.

Navigating the Healthcare System

For those who are showing symptoms of breast implant illness, navigating the healthcare system can be challenging. Finding healthcare providers who are knowledgeable about BII and supportive of your concerns is essential. Here are some tips for advocating for your health:

Seek an Expert: Look for cosmetic surgeons and healthcare providers who have experience with BII and explant surgery.
Document Symptoms: Record your symptoms in detail, including their onset, duration, and severity, to share with your healthcare provider.
Be Persistent: If your concerns are not taken seriously, seek a second opinion or consult with another professional.
Utilise Resources: Make use of the resources provided by patient advocacy groups and online communities to educate yourself and connect with others who have similar experiences.

What Breast Cancer Survivors Should Know About BII

Breast cancer survivors who have received breast reconstruction with implants are also at risk for developing breast implant illness. It is crucial for these individuals to be aware of the symptoms of BII and to monitor their health closely. Regular follow-ups with healthcare providers and open communication about any new or worsening symptoms can help ensure timely intervention if needed.

Silicone Implant Illness and Autoimmune Syndrome Induced by Adjuvants (ASIA)

Silicone implant illness, a subset of BII, specifically refers to symptoms associated with silicone gel-filled implants. Some researchers have linked silicone implants to Autoimmune Syndrome Induced by Adjuvants (ASIA), a condition characterised by the development of autoimmune symptoms following exposure to certain adjuvants, including silicone. While the exact cause and mechanism of ASIA are still being studied, it highlights the potential immune response triggered by silicone implants.

Exploring Treatment Options Beyond Implant Removal

While implant removal is the primary treatment for breast implant illness, some patients may explore additional treatment options to manage their symptoms. These can include:

Diet and Lifestyle Changes: Implementing dietary changes and adopting a healthier lifestyle supports overall well-being and reduces inflammation.
Medications: In some cases, medications are prescribed to manage specific symptoms, such as pain, fatigue, or autoimmune responses.
Support Groups and Therapy: Participating in support groups and seeking therapy can provide emotional support and coping strategies for dealing with the challenges of BII.

What’s Next for Breast Implant Safety?

The medical community continues to strive for advancements in the safety and efficacy of breast implants. Ongoing research and technological innovations aim to develop implants with improved biocompatibility and reduced risk of complications. Additionally, efforts are ongoing to establish clearer diagnostic criteria and treatment protocols for breast implant illness.

Wrapping Up: Navigating Breast Implant Illness and Finding Relief

Breast implant illness is a multifaceted condition that presents significant challenges for both patients and healthcare providers. The wide range of symptoms, lack of specific diagnostic criteria, and varying responses to treatment make BII a complex issue to address. However, through increased awareness, research, and patient advocacy, progress is being made in understanding and managing this condition. For those experiencing unexplained symptoms and suspecting BII, consulting with a knowledgeable surgeon and considering implant removal may offer a path towards relief and improved quality of life.

If you have any questions or need further information, please get in touch with Refine Clinic at (02) 8599 7161. Our team is dedicated to providing comprehensive care and support for patients dealing with breast implant illness.

Note: Any surgical or invasive procedure carries risks. Before proceeding, you should seek a second opinion from an appropriately qualified health practitioner.

Sources:

Breastcancer.org. (n.d.). Breast implant illness. Retrieved from https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness

Mayo Clinic Staff. (n.d.). Breast implants: What you need to know. Mayo Clinic. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/womens-health/in-depth/breast-implants/art-20045957

InsideTracker. (2023, February 7). How to measure inflammation: Key inflammatory markers. Retrieved from https://www.insidetracker.com/a/articles/how-to-measure-inflammation-key-inflammatory-markers

National Center for Biotechnology Information. (2021). Autoimmune/inflammatory syndrome induced by adjuvants (ASIA). In StatPearls. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK584188/

Unmasking Breast Implant Illness: Symptoms, Diagnosis, and Treatment