If a woman has gone through breast augmentation surgery with the insertion of silicone gel breast implants, then there’s a risk for her to suffer from silicone immune toxicity syndrome. Inside a silicone breast implant the following chemical substances can be found: Printing Ink, Carbob black, Phenol Benzene-Known carcinogen, Flux Metal, Epoxy hardener, Ethyl Acetate, Isopropyl Alcohol, Denatured Alcohol, Eastman 910 glue (Cyanoacyryiates), Hexane, Hexanone 2, Color Pigments as release agents Oakite (a cleaning solvent), Naphtha (rubber solvent), Talcum Powder, Methyl Ethyl Ketone, Ethylene Oxide (ETO), Lofol (formaldehyde), Cyclohexane, Epoxy hardener, Toluene, Xylene, Antioxidant (rubber), cleaning acid, Zinc Oxide, Epoxy Resin, Lacquer thinner, Ethyl Acetate, Acetone ,Urethane, Amine, Freon ,Silicone. One more commonly used ingredient is Liquid Vinyl (Polyvinyl Chloride). It’s used by Edward Lab in all types of medical instruments. Such chemical as Methilene Chloride/Dichloromethane comes apart and prevent the blood from delivering oxygen. What is more, the product of its metabolism – carbon monoxide – poisons the body and results in the central nervous system depression. So, all these chemicals are contained in the shell of a silicone breast implant or inside of it.

Still the basic component of silicone gel breast implants is silicon. It’s produced from silica, which contains 45% of silicon and is exploited from the earth. Breast implant surgery uses the synthetic substance which contains 38% of silicon and is called silicone gel. Breast augmentation surgery with the insertion of implants often results in a slow leakage of the filler – the shell and the capsule of a silicone breast implant is permeable in a certain extent. The so-called microphages (cells of the immune system which act like a scavenger) collect the silicone which got out of the implant shell. This silicon comes apart inside these cells and then travels with them around the body. It disintegrates into silica and silicon, which, in their turn, badly affect the work of the immune system: the antibodies are produced. It results in an autoimmune disease.

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A retrospective study was held by the Food and Drug Administration (FDA), during which women after breast surgery and insertion of implants were examined. It was located in Birmingham, Alabama and was performed on women who had silicone breast implant inserted before 1988. In order to examine the present condition of their implants, a MRI inspection of the breast was performed. 344 women took part in the study, so the total amount of implants was 687. The results of the study showed that 69% of women had at least one ruptured implant, so 378 (55%) of 687 implants were ruptured. About 73% of women under the study had silicone gel in at least in one of two breasts which was out of the shell and the capsular. Among the most common causes of rupture were the aging of the silicone breast implant, its manufacturer, and its placement under muscles rather than under glands.

A prospective study held by Mentor examined women, who have gone through breast enhancement surgery with the insertion of the saline breast implant. It lasted for 3 years and included 1264 patients after augmentation and 416 after reconstruction. It showed that 9% of patients after augmentation and 30% after reconstruction had experienced the capsular contracture Grade III and IV. McGhan performed another prospective study of the saline breast implant, according to which 9% for 901 patients after augmentation and 25% for 237 after reconstruction had experienced the capsular contracture Grade III and IV during 3 years.

So, the contracture of capsular is one of the most common complications of implants. Due to the contracture the scar tissue tightens in the process of natural body healing and may require a surgery in order to remove it. Also it may lead to the implant removal or replacement. Another problem is leaking of implants – about 3% during 3 years experience it. If it was saline breast implant rupture or leaking, then the filler is simply absorbed by the body and brings no harm to it. But if it was the breast enhancement surgery with silicone, then the rupture of such implants results in one of two things. It there’s a contracture scar around the silicon breast implant, then you may feel like nothing happened after the breakage of its shell. But when there’s no contracture scar, then you feel that the implant is deflating. The leaking silicone may be collected in the breast and lead to the occurrence of a new scar or it may travel around your body with the lymph. If silicone travels around your body, it’s hardly possible to remove all of it. Connective tissue disorders are considered to be connected with silicone.

What are the causes of breast implant rupture? Among them the most common are: the aging of implants, insufficient or excessive filling of the saline breast implant, damage by surgical instruments, closed capsulotomy, breast injuries, too much pressure during mammographic imaging, umbilical incision placement, capsular contracture, breast trauma, intense physical manipulation with your breast. There are also some unexpected or unknown reasons of breast implant rupture. After such rupture you may need to undergo one more surgery in order to replace the leaking or ruptured implant.

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The American Academy of Pediatrics considers breastfeeding to be the most preferable method of feeding a baby. But what about breastfeeding with implants? It’s essential to consult your doctor if you are going to have a surgical breast enhancement before the time you have born and fed a baby. The surgeon will select the most suitable way of implants placement in order not to bring harm to your baby during breastfeeding.

Many women are interested if augmentation breastfeeding is possible at all. The answer is yes! Moreover, some say that with implants it’s even easier to breast feed your baby. At least, it’s not more difficult to feed your baby with implants than without them. In the past years usually only married women with children decided to have their breast enlarged. Now, augmentation breastfeeding is a common concern, because today more and more women, who haven’t born and fed a baby, decide to go through surgical breast enhancement.

Firstly, implants with silicone were widely used, but later in 1992 there was the first report in the press about the illness, caused by silicone. So, a fear of brining harm to a baby by breastfeeding with silicone arose. But some studies have shown that the silicone molecule is too large to go through the milk ducts. That’s why the fear of breastfeeding with silicone was dispelled. Moreover, in the following years implants with silicone got out of wide use and were replaced with saline-filled ones. The advantage of the saline filler is that even if it will leak through the shell and get into the milk, it won’t do any harm to mother or baby.

Another concern about breastfeeding with implants is the placement of implants and incision. It’s considered to be the best way to avoid the incision called peri-aerolar and to perform submuscular placement of the implant. In this case, there won’t be any fears of implant’s filler getting into the milk, as the milk ducts are above the muscles while the implant is below them. However it’s not the only successful way possible – many women, who had their breast enlarged and implants placed in other locations, also had no problems with augmentation breastfeeding.

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