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Writer's pictureDr. Roberto López Konschot

Breast Implant Illness and Explantation: A Comprehensive Guide

Updated: Nov 9, 2023



Introduction

Breast augmentation has long been a popular cosmetic surgery option for women seeking to enhance their self-esteem and physical appearance. While many women have experienced positive outcomes, there has been a growing concern about Breast Implant Illness (BII) associated with breast implants. In this article, we will delve into what BII is, its symptoms, and the process of explantation as a potential solution.



Understanding Breast Implant Illness (BII)

Breast Implant Illness, often referred to as BII, is a term used to describe a range of symptoms and health issues that some women have reported after undergoing breast augmentation with silicone or saline implants. The symptoms associated with BII can be diverse and may include fatigue, joint pain, cognitive issues, hair loss, and more. It is important to note that the medical community's understanding of BII is still evolving, and the condition is not officially recognized as a specific diagnosis.





Common Symptoms of BII

  1. Fatigue: Many women with BII report experiencing extreme and unexplained fatigue, which can interfere with their daily lives and overall well-being.

  2. Joint and Muscle Pain: Pain and stiffness in the joints and muscles are common symptoms of BII, which can be debilitating for some individuals.

  3. Cognitive Issues: Some women experience cognitive problems like brain fog, memory issues, and difficulty concentrating.

  4. Hair Loss: Thinning hair or hair loss is another symptom that has been associated with BII.

  5. Gastrointestinal Problems: Digestive issues, such as bloating, diarrhea, and food sensitivities, may occur in some cases.

  6. Autoimmune-Like Symptoms: BII symptoms may mimic those of autoimmune diseases, including skin rashes, inflammation, and swollen glands.



Exploration of the Explantation Option

For women who suspect they have BII, the most common solution is breast implant removal, a procedure known as explantation. During an explantation, the surgeon removes the breast implants and any surrounding scar tissue or capsule. The decision to undergo explantation is a deeply personal one and should be made in consultation with a qualified healthcare professional.




Steps in the Explantation Process

  1. Consultation: It is crucial to consult with a board-certified plastic surgeon who specializes in breast implant removal to discuss your concerns and expectations.

  2. Pre-operative Assessment: The surgeon will evaluate your overall health and assess the condition of your breast implants.

  3. Surgery: The explantation surgery is typically performed under general anesthesia and involves the removal of the implants and any associated scar tissue.

  4. Recovery: Recovery time can vary, but most patients can return to their regular activities within a few weeks, with minor discomfort and swelling.

  5. Follow-Up Care: After the procedure, you will need to attend follow-up appointments to monitor your healing progress.




Conclusion

Breast Implant Illness is a complex and controversial topic within the realm of breast augmentation surgery. While it is important to consider the reported symptoms and experiences of women who believe they have BII, it is equally important to consult with qualified healthcare professionals for a proper diagnosis and guidance on the best course of action.

For individuals experiencing the symptoms associated with BII, explantation is an option that offers potential relief. However, it is not a guaranteed solution, and the decision should be made after careful consideration and consultation with a healthcare provider. Ultimately, the decision to undergo explantation is a personal one that depends on individual circumstances and health concerns.





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