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Breast Implant Safety

Breast Implant Safety

Breast implants are among the most thoroughly researched and evaluated medical devices. Recently, breast implant manufacturer Allergan has issued a voluntary worldwide recall of its BIOCELL® textured breast implants and tissue expanders due to the increased risk of BIA-ALCL, or “breast implant associated anaplastic large cell lymphoma” a rare cancer.

What is BIA-ALCL?

BIA-ALCL is an immune system cancer that has been found to develop in some women who have textured breast implants. This is not a cancer of the breast tissue itself but develops in the scar tissue capsule around the implant.

How many women with textured implants have developed BIA-ALCL?

To date, 717 cases of BIA-ALCL have been reported in women with textured implants, leading to a worldwide recall of the implants by Allergan on July 24, 2019. Some other manufacturers produce textured implants and may also recall those implants, but the Allegan versions have the highest incidence of BIA-ALCL.

Should I have my textured implants removed?

Women with textured implants who are not experiencing any symptoms are not advised to have their breast implants replaced. Some women, for their own peace of mind, may take the step to have textured implants removed and replaced with smooth implants. If you have concerns about developing BIA-ALCL, testing is available.

What causes BIA-ALCL?

While the cause of the disease is not fully understood, it is believed that the cancer is likely linked to:

  • Textured implants placed in breast augmentation.
  • A genetic predisposition. To date, two published reports have revealed information that a genetic predisposition due to a gene mutation may increase the risk of developing BIA-ALCL.
  • Inflammation. Chronic inflammation in the capsule surrounding textured implants may be triggered by an allergic response, bacteria, or an unidentified factor.
  • Time after implant placement. BIA-ALCL typically appears several years after the implants were placed, an average of eight years following augmentation. Cases of BIA-ALCL have been found in women early as two years after implant placement, and as late as 28 years after augmentation.

What are the symptoms of BIA-ALCL?

The symptoms of this rare cancer include:

  • Unexplained breast enlargement or swelling
  • Asymmetry
  • Fluid buildup within the breast capsule
  • Lump in breast or armpit
  • Hardened breast
  • Skin rash on breast

You should be aware that after undergoing breast augmentation with smooth implants, it is normal to experience breast swelling and bruising, which fades in the weeks following surgery.

Can you get BIA-ALCL from smooth implants?

No confirmed cases of BIA-ALCL have been reported with smooth implants. Dr. Hamawy uses only smooth implants in his breast augmentations.

How is BIA-ALCL diagnosed?

If you have symptoms, such as unexplained breast swelling, you should call your physician and get tested. Testing involves an evaluation with ultrasound to check for fluid collection, a capsular mass or to identify the presence of lymph node swelling. A mammogram cannot identify BIA-ALCL. Should fluid be present, a sample is collected with a needle and then sent to a lab for testing for the markers of BIA-ALCL.

Does Princeton Plastic Surgery use textured implants?

Dr. Hamawy at Princeton Plastic Surgeons uses only smooth implants in breast augmentations.

Breast Implant Safety

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Practice Update Regarding COVID-19

At Princeton Plastic Surgeons, the health and well-being of our patients, employees and our community is our top priority. We understand the concern and uncertainty you may be experiencing surrounding the coronavirus (COVID-19) and we are committed to being responsive to the needs of our patients as the situation evolves.

In consideration of the risk that Covid-19 poses to the community at large our Office and Medspa are temporarily closed. This is also in accordance with the new CMS recommendation that all elective surgeries, non-essential medical, surgical and dental procedures be delayed during this outbreak. Events are progressing rapidly and the viral pandemic is projected to seriously impact many Americans and others around the world. We must all do what is necessary to reduce the risk of virus transmission and conserve needed medical supplies. We of course are still available for urgent or emergent care.

We are open for virtual consultations or phone consultations for those who wish to have a consultation during this time at 609-301-0760. Rest assured, the closure is preventative and not due to an exposure within our office community or staff. There will be a staff member who can respond to patients who have had surgery, reschedule appointments, and answer phone calls.

Best wishes for your continued health and a prompt end to this crisis.

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