There has been a lot of recent media attention regarding the risk of a certain type of cancer associated with breast implants, known as Breast Implant-Associated Anaplastic Large Cell Lymphoma or BIA-ALCL.
It’s important to note that BIA- ALCL is not a type of breast cancer; rather, it is a rare type of lymphoma that has been predominantly found in women with textured silicone breast implants. At this time, the same link has not been seen in women with smooth or saline implants.
Currently, neither the FDA nor any Plastic Surgery society recommends that women should preventatively remove textured breast implants to prevent BIA-ALCL.
However, there are women who have been concerned enough about BIA-ALCL and have chosen to have their implants removed. Allergan, one of the major manufacturers of textured breast implants, issued a voluntary recall of textured implants for women desiring removal.
Additionally, there are some women who were already considering a breast implant revision, and the BIA-ALCL issue gave them one more reason to decide to proceed. Women with textured implants may also elect to have them replaced with smooth surface implants; you may also choose to have them removed entirely. Dr. Parcells is available to assist you with either option. In addition to textured implants, other similar devices have been linked to ALCL, including textured gluteal implants. To determine your risk factors, follow up with your surgeon is important.
The Food and Drug Administration (FDA) estimates that there are 5 million to 10 million women worldwide who have breast implants.
As of February 2020, 573 cases of BIA-ALCL have been pathologically confirmed, and 307 are suspected, though unconfirmed cases. In the United States, approximately 550,000 total breast implants are placed per year. Of those, 70,000 were textured.
On average, the removal and replacement of breast implants and capsules take 4-5 hours and is performed under general anesthesia.
The scar can be placed in a variety of locations, depending on the type of revision procedure being performed and the location of your previous scars.
A numbing agent is often utilized to relieve discomfort, allowing most women to go home the same day. A surgical bra will be worn for the next several weeks, to improve comfort and to help with shaping. Most women will experience mild to moderate discomfort for the next several days after the procedure, but may be able to resume routine activities, and return to work in about a week.
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If you are considering treatment for Breast Implant-Associated Anaplastic Large Cell Lymphoma, it is important to work with a qualified physician.
She is Board-Certified by the American Society of Plastic Surgeons and is an expert in the field of aesthetics. Here at Parcells Plastic Surgery, we want you to feel confident and celebrate your natural beauty. Our goal is to educate and empower you to decide what's best for your body. We look forward to meeting you and addressing your aesthetic concerns. Call or text us if you would like to know more, or schedule an appointment for a consultation with Dr. Parcells. We hope to see you soon!Meet Dr. Parcells
The most common symptom reported is usually swelling of the breast, often caused by fluid surrounding the implant. A sample of this fluid is taken and sent for analysis.
Other symptoms of BIA-ALCL include pain, lumps, and asymmetry between breasts. Some women have reported enlarged lymph nodes. According to both the FDA and the American Society of Plastic Surgeons (ASPS), unless you experience obvious breast changes, only routine mammograms and breast exams are recommended.
The recommended treatment of BIA-ALCL is the removal of the breast implant, as well as the surrounding scar tissue layer, called the capsule.
Implant and capsule removal is considered the definitive treatment in the majority of patients diagnosed with BIA-ALCL. Chemotherapy may be required in a small group of women with advanced disease for whom removal is not sufficient.
For the most up-to-date information regarding this condition, visit the Food & Drug Administration (FDA) website pertaining to BIA-ALCL.
If you are interested in breast implant removal or a consultation with Dr. Parcells to find out if breast implant removal is right for you, discuss your questions, or receive an examination, contact us today to schedule an appointment.
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