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A Practical Guide to Managing Patients With Systemic Symptoms and Breast Implants
Patricia McGuire, Daniel J Clauw1, Jason Hammer
1Department of Anesthesiology, Medicine (Rheumatology), and Psychiatry, University of Michigan, Ann Arbor, MI, USA.
Aesthetic Surgery Journal
|October 23, 2021
Summary
This study offers a practical guide for plastic surgeons managing patients with breast implants who report systemic symptoms. It emphasizes patient counseling and thorough assessment to differentiate implant-related issues from other health conditions.
Area of Science:
- Plastic Surgery
- Systemic Health
- Medical Device Safety
Background:
- Patient concerns persist regarding potential links between breast implants and systemic symptoms.
- Existing scientific evidence on the association between breast implants and systemic symptoms remains inconclusive.
- A need exists for a structured approach to manage these patient concerns.
Purpose of the Study:
- To provide plastic surgeons with a practical management framework for patients with breast implants experiencing systemic symptoms.
- To guide clinicians in patient counseling, diagnostic assessment, and appropriate referral strategies.
- To differentiate implant-related symptoms from other underlying medical conditions.
Main Methods:
- Review of existing literature and clinical experience.
- Development of recommendations for patient counseling, including unbiased information and risk-benefit discussions.
- Outline of clinical and laboratory assessment protocols for symptom evaluation.
- Emphasis on specialist referral for non-implant-related conditions.
Main Results:
- A practical approach is proposed, focusing on attentive listening and evidence-based information.
- Diagnostic assessment aims to identify and treat underlying conditions unrelated to breast implants.
- Avoiding unnecessary surgery by accurately diagnosing the cause of symptoms is highlighted.
Conclusions:
- Effective management requires thorough patient counseling and comprehensive symptom assessment.
- Specialist referral is crucial for addressing potential non-implant-related health issues.
- Further research, including long-term follow-up and controlled studies, is needed to provide evidence-based guidance.
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