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Silicone Breast Implants
One of the most important decisions that an individual has to make when they
obtain breast implants is the filler material that is used within the breast
implant. A breast implant is composed of a silicone shell that contains some
type of filler material. There are two predominant options for filler material
in breast implants: saline or silicone. Although silicone breast implants are
considered more ideal as they provide a more natural look and feel, they have
faded in popularity since a Food and Drug Administration (FDA) ruling in 1992
that prohibited its approval.
Silicone breast implants are made with silicone, a family of chemical compounds
that are made from silicon (the second most abundant element in the earth's
crust). Silicones have been used in consumer products for over 50 years and
can be found in numerous forms in a variety of products. Developed in the early
1960s by the plastic surgeons Cronin and Gerow, silicone breast implants began
to be developed as a commercial product by 1962. The most popular of the various
breast implant designs, silicone breast implants fell out of favor in 1992.
Although there was no conclusive evidence, many doctors found that the silicone
gel used as the filler material in silicone breast implants may cause a variety
of diseases. Concerns about rupture and gel bleed that would result in silicone
circulating to other parts of the body led to the FDA imposing a moratorium
on silicone gel breast implants in 1992. Although the FDA did not find any conclusive
evidence that silicone breast implants led to higher occurrences of such illnesses
as connective tissue disease, immunological disorders, neurological disorders,
increased risk of cancer, and capsular contracture; they also did not find enough
evidence to prove that silicone breast implants did not cause a higher incidence
of these illnesses.
As a result, silicone breast implants are no longer available to the general
public. However, there are still some ways that a person is able to obtain silicone
breast implants. By taking part in a study investigating the effects of silicone,
it is possible for a woman that is over the age of 18 to acquire silicone breast
implants. For the sake of scientific research, the patient must agree to be
monitored for 5 to 10 years for doctors to investigate the effects of the silicone
gel on the patient's health.
If you are interested in taking part in a scientific study of silicone breast
implants, you must meet these criteria:
- You must be a mastectomy patient that is undergoing reconstructive surgery.
- Due to complications caused by saline breast implants (ie. capsular contracture,
rippling), you are undergoing a revision surgery.
- In addition to breast augmentation treatment, you are also having a mastopexy
(breast lift) performed.
- You have a chest wall deformity such as pectus excavatum, pectus carinatum,
or scoliosis.
- You have a history of treatment for breast cancer that has resulted in a
loss of a breast.
- You are undergoing treatment to solve severe asymmetries of the breast.
However, patients that meet the following criteria are immediately excluded
from being able to take part in a silicone breast implant study:
- Presence of infection is detected in your body.
- You are currently pregnant or are nursing.
- You have been diagnosed with lupus or scleroderma.
- A disease that impairs wound healing, such as uncontrolled diabetes currently
affects you.
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