Holcomb–Kreithen Plastic Surgery & Medspa offers decades of combined expertise, spanning cosmetic and reconstructive breast surgery to post-operative care and holistic patient support. In this article, we address Breast Implant Illness (BII), a topic that has garnered increasing attention and discussion. Our goal is to provide a clear overview of BII, including potential symptoms, how it may manifest, and the treatment options available. By drawing on our clinical experience and the latest research, we aim to equip you with the information you need to make informed decisions about your care and well-being.
What Is Breast Implant Illness (BII)?
Breast implants—whether saline or silicone—are most commonly used for breast augmentation or reconstruction. Breast Implant Illness (BII) refers to a broad spectrum of symptoms that some individuals experience after undergoing breast implant surgery.
While BII is not officially recognized as a distinct medical diagnosis, many people report health concerns that they believe are linked to their implants. These symptoms can appear relatively soon after surgery or develop gradually over time.
In the majority of cases, individuals experience no complications. However, some encounter issues that may affect their physical, emotional, and mental well-being, potentially mirroring autoimmune or inflammatory conditions.
How Do You Know You Have Breast Implant Illness?
Because BII symptoms can vary greatly from one person to another, pinpointing this condition can be challenging. Some of the most frequently reported symptoms include:
- Chronic fatigue
- Muscle and joint pain
- Brain fog or difficulty concentrating
- Memory problems
- Migraines and headaches
- Unexplained hair loss
- Sleep disturbances
- Anxiety and depression
- Autoimmune-like symptoms (dry eyes, rashes, mouth ulcers)
- Breast pain or tenderness
- Swelling or inflammation around the implant site
These symptoms can overlap with those of many other health conditions, so it’s essential to consult a qualified healthcare provider if you suspect your implants may be contributing. A thorough medical history, physical exam, and imaging tests can help rule out other potential causes.
How Common Is Breast Implant Illness?
Accurate data on the prevalence of BII can be challenging to obtain. However, patient reports and certain studies indicate that a small but notable percentage of individuals with implants—possibly between 10% and 25%—may experience some form of these symptoms. It’s also important to remember that not everyone with breast implants will develop BII, and many individuals remain symptom-free for years.
Researchers continue to explore what factors might make certain people more susceptible than others. Possible risk factors include individual genetics, immune system irregularities, and implant type. Because there is no definitive scientific consensus on these causes, working closely with healthcare professionals who take your concerns seriously is essential.
What Are the Treatment Options for Breast Implant Illness?
If you suspect that you may be experiencing BII, your first step should be to consult with a healthcare provider experienced in evaluating breast implant-related concerns. Some symptoms might improve with conservative treatments such as medication or lifestyle modifications. However, removing the implants may be the most effective step when symptoms persist or significantly impact your quality of life.
En Bloc vs. Non-En Bloc: What They Mean
- En Bloc: The surgeon removes the implant and the surrounding capsule tissue in one piece. The goal is to reduce the likelihood that any potential irritants remain in the body.
- Non-En Bloc: The implant is removed, but some or all of the surrounding capsule tissue may be left behind. In many cases, this approach is less invasive than en bloc removal.
Potential Risks and Considerations
- En Bloc Surgery: This can be more technically challenging and time-consuming. Some research questions the necessity of always removing the capsule, especially if there’s no evidence that leaving the capsule will continue to cause issues.
- Non-En Bloc Surgery: Less complex and typically easier to perform. However, leaving the capsule behind could theoretically allow inflammation or other complications to persist. Even so, many patients still experience reduced symptoms without full capsule removal.
Efficacy for BII Symptoms
- Symptom Improvement: Many individuals report feeling better after en bloc explantation, noticing improvements in fatigue, brain fog, and joint pain. However, similar symptom relief has also been observed in those who undergo non-en bloc procedures.
- Studies and Patient Reports: A 2017 study published in the Aesthetic Surgery Journal found that both en bloc and non-en bloc explantation resulted in decreased symptoms of BII, with no statistically significant difference between the two methods [Aesthetic Surgery Journal, 2017]. Other research suggests that the benefits of en bloc surgery may sometimes be overstated, indicating that simply removing the implants might be enough to help many patients see improvements.
General Recommendations
- There is no single, definitive approach for everyone
- For patients with complex issues like capsular contracture or significant inflammatory reactions, en bloc removal may offer added peace of mind
- Others with milder concerns could see improvement with a non-en bloc procedure
Moving Forward with Confidence
By exploring all available options and seeking expert guidance, you can take significant steps toward feeling more comfortable, confident, and healthy. At Holcomb-Kreithen Plastic Surgery & Medspa, our board-certified specialists have extensive experience addressing various breast implant concerns, including Breast Implant Illness. If your symptoms seem related to your implants or if you simply seek peace of mind, we invite you to schedule a consultation. Our compassionate, patient-focused team will work with you to develop a personalized treatment plan that may include monitoring, medication, or surgical intervention.