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[Breast prostheses and their complications]
1Service de médecine interne, hôpital Saint-Antoine, Paris, France.
La Revue De Medecine Interne
|January 1, 1997
Summary
Silicone breast implants can cause capsular contracture and gel leakage, potentially leading to systemic symptoms and a slight increase in connective tissue diseases. Objective tests for diagnosis are currently unavailable.
Area of Science:
- Biomaterials Science
- Immunology
- Plastic Surgery
Context:
- Silicone breast implants are controversial due to patient psychological and health concerns, as well as professional medical and research interests.
- Current silicone implants present challenges, including capsular contracture and gel leakage, impacting cosmetic outcomes and patient health.
- The immunologic properties of silicone gel and its diffusion necessitate a deeper understanding of its effects.
Purpose:
- To review the complications associated with silicone breast implants.
- To discuss the local and systemic effects of silicone gel leakage.
- To evaluate the association between silicone implants and connective tissue diseases.
Summary:
- Silicone implants often result in capsular contracture and cosmetic dissatisfaction.
- Leakage of silicone gel can lead to systemic diffusion and potential immunologic reactions, including antibody formation.
- While large studies show general safety, a small but significant risk of connective tissue diseases exists in women with silicone gel implants.
Impact:
- Highlights the limitations of silicone as a soft-tissue substitute.
- Underscores the need for improved diagnostic tools for patients experiencing symptoms.
- Informs healthcare professionals about the potential risks and management challenges associated with silicone breast implants.