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Related Experiment Video

Updated: Jul 19, 2025

Generation of a Mouse Spontaneous Autoimmune Thyroiditis Model
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Silicone prosthetics and anti-thyroid autoimmunity.

V G Zolotykh1,2, A N Gvozdetckii3, V A Maevskaya4

  • 1St. Petersburg State Budgetary Healthcare Institution "City Hospital No. 40 of the Kurortny district", 9, Borisova ul., St. Petersburg, Russian Federation, 197706. dr-zolotykh@yandex.ru.

Langenbeck'S Archives of Surgery
|August 15, 2023
PubMed
Summary

Silicone mammoplasty may increase thyroid autoimmunity by raising TSH receptor autoantibodies. Patients should be screened pre-operatively and monitored post-operatively for thyroid health.

Keywords:
ASIA syndromeProlactinSilicone breast implantsTSHTSHR-ab

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Area of Science:

  • Endocrinology
  • Immunology
  • Plastic Surgery

Background:

  • Silicone implants in esthetic surgery are debated.
  • Potential immune and endocrine effects require investigation.

Purpose of the Study:

  • To analyze immune and endocrine changes after mammary augmentation.
  • To investigate the impact of silicone mammoplasty on thyroid autoimmunity.

Main Methods:

  • Analysis of 119 esthetic mammary surgeries.
  • Monitoring of immune and endocrine parameters, including autoantibodies to the TSH receptor, prolactin, and TSH levels.

Main Results:

  • Increased autoantibodies to the TSH receptor observed post-silicone mammoplasty.
  • Pre-operative prolactin and TSH levels were elevated.
  • ASIA syndrome incidence increased, but not exclusively linked to silicone.
  • No overt thyroid disease detected within 12 months, indicating a pre-nosological state.

Conclusions:

  • Silicone may act as an adjuvant, increasing thyroid autoimmunity.
  • Pre-operative screening for TSH receptor autoantibodies is recommended for patients undergoing silicone implant surgery.
  • Long-term thyroid status monitoring, including autoantibody testing, is advised for patients post-breast endoprosthesis.