3911 sw 67th ave, Miami, FL 33155 ・ Phone: (305) 670-7650

3911 sw 67th ave, Miami, FL 33155
Phone: (305) 670-7650

BREAST IMPLANT ILLNESS

Breast implant illness can result from a variety of conditions that can affect women with breast implants.

Sometimes, these conditions are a result of the implant surgery itself rather than the presence of an implant. In other cases, an underlying autoimmune condition is activated after breast implant are placed. Below is a list of common causes of breast implant illness.

Treatment of breast implant illness depends on the underlying cause. In some cases, removal of the breast implants might not resolve the illness.

Table of Contents

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Deafferentation syndrome

  • Cutaneous innervation from the nerves listed below. These can be severed or damaged during a subglandular implant, particularly with an areolar approach.
  • Medial, intermediate, and lateral branches of the supraclavicular nerve innervate the skin of the upper part of the breast.
  • Anterior and lateral cutaneous branches of the second to sixth intercostal nerves innervate the rest of the skin of the breast.
  • Fourth intercostal nerve innervates the nipple.
  • Deep tissues are innervated by the lateral pectoral nerve, medial pectoral nerve,  long thoracic nerve, thoracodorsal nerve, and the intercostobrachial nerve.
  • Deeper nerves are severed during subpectoral implant placement. This results in atrophy of the pectoralis major with fatty infiltration to give a more pleasing cosmetic result
  • Removal of the implants typically does not help in patients with breast implant illness secondary to a deafferentation syndrome.

Bacterial biofilm formation

  • Can be relatively indolent for a long time (3-5 years), then trigger an immune reaction.
  • Not associated with a fluid collection.
  • Explantation (removal of the implant) resolves symptoms of infected implants of any type.
BACTERIAL-BIOFILM-FORMATION

Direct chemical toxicity with severe foreign body reaction (FBR) to biomaterial implantation

  • May be to reaction silicone itself, to the components of the implant shell, or even to the residual catalysts (e.g, platinum) left on the implant from manufacturing.
  • Direct toxicity has happened with other implants as well, most typically metallosis after joint replacement using metallic implants.
  • Removal of implants does not always result in complete resolution of symptoms immediately afterwards.

Autoimmune syndrome

  • Induced by adjuvant where silicone may act as an autoimmune adjuvant.
  • Subclinical autoimmune disorder coincidentally flares up after implant placement.
  • New autoimmune disorder develops independently of implants.
  • Removal of implants does not always result in complete resolution of symptoms.

Somatization

  • Not somatization disorder because the patient has insight.
  • Typically occurs in addition to the other causes listed above.
  • Modern life is stressful, alienating, and often unhappy for most people. Increased stress tends to worsen the symptoms of most medical conditions, including breast implant illness.
  • Eliminating stress and alienation, to the degree it is possible, helps minimize this problem.
  • Diagnosis of exclusion – rule out other causes as this is very rarely the only cause of breast implant illness.
Somatization

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