Breast Implant Illness (BII)

Breast Implant Illness (BII) can develop after breast implant surgery, potentially impacting overall well-being, daily comfort, and overall quality of life. Dr. Teitelbaum is here to help.

Shaping the Future of Aesthetic Surgery

Dr. Steven Teitelbaum, an Associate Clinical Professor of Plastic Surgery at the UCLA School of Medicine, has devoted his career to advancing patient well-being and educating colleagues worldwide. As a past President of the Aesthetic Surgery Education and Research Foundation (ASERF) and the California Society of Plastic Surgeons, his leadership in aesthetic surgery and unwavering commitment to patient-centered care have earned him a reputation for excellence.

He applies this trusted expertise and authority to every step of your care, including the nuanced concerns surrounding Breast Implant Illness (BII). By combining meticulous surgical principles with open communication, Dr. Teitelbaum helps ensure that each patient’s health, comfort, and peace of mind remain the highest priorities.

What Is Breast Implant Illness?

Breast Implant Illness refers to a collection of symptoms that some women associate with their breast implants.

While research continues to investigate the causes and prevalence of BII, many plastic surgeons, including Dr. Teitelbaum, acknowledge that patients experiencing these symptoms should be heard, supported, and evaluated thoughtfully.

Each individual’s health journey is unique, and navigating potential implant-related issues demands careful consideration of science and compassionate patient care.

Symptoms of Breast Implant Illness

Patients who believe they may have BII often report symptoms that include:

Persistent fatigue and low energy
Brain fog or memory challenges
Joint or muscle discomfort
Skin rashes or unexplained irritation
Changes in hair or nail health
Mood disturbances, such as anxiety or depression

It is important to note that these symptoms can overlap with other medical conditions, requiring a thorough evaluation to determine their root cause.

Current Studies and Statistics on Breast Implant Illness (BII)

Breast Implant Illness (BII) remains an evolving area of study in plastic surgery. While there is not yet a universally accepted diagnostic criterion for BII, several emerging studies and ongoing patient reports contribute to a growing body of evidence and awareness in the medical community.

Clinical Reports and Patient-Reported Outcomes

A 2021 paper in the Aesthetic Surgery Journal Open Forum observed that many patients undergoing breast implant removal for BII-related complaints reported improvements in symptoms such as fatigue, brain fog, and joint pain post-explant. However, the authors noted that confounding factors and placebo effects could not be completely ruled out (Magnusson et al., 2021).
A multicenter prospective cohort study published in Plastic and Reconstructive Surgery in 2022 followed patients reporting systemic symptoms they attributed to their implants; while symptomatic relief was noted among a subset who underwent explantation, researchers emphasized the need for more rigorous, controlled studies to clarify any causal relationships (Roberts et al., 2022).

FDA Communications

The U.S. Food & Drug Administration (FDA) has acknowledged that some patients experience systemic symptoms they associate with their breast implants. While the FDA has not established a direct cause-and-effect link between implants and BII, it encourages ongoing data collection and transparent patient-physician discussions about potential risks (FDA, 2020).

Statistical Considerations

Reliable prevalence rates for BII are challenging to pinpoint, partly due to self-reporting and overlapping symptoms with other conditions (American Society of Plastic Surgeons, 2021).
Registry-based data collection efforts—such as the National Breast Implant Registry (NBIR)—aim to gather more detailed statistics on breast implant outcomes and complications, potentially providing more clarity on the frequency and nature of BII-like symptoms (NBIR, 2021).

Implications for Patients and Providers

The current research underscores the need for collaborative patient care, thorough assessments, and shared decision-making. While many women remain satisfied with their implants and experience no adverse systemic effects, it is also vital that those with unexplained symptoms receive comprehensive evaluations and evidence-based guidance.

Sources (In-Copy Citations)

How Is Breast Implant Illness Treated?

Because BII is a broad term for various possible concerns, treatment depends on each patient’s situation and health status. Approaches may include:

Medical Evaluation: Comprehensive testing to rule out autoimmune or other conditions.
Lifestyle and Nutritional Support: Adjusting diet, supplements, or exercise routines to address inflammation and overall wellness.
Implant Removal or Replacement: In some cases, removing or exchanging implants may alleviate symptoms. This decision is best made after discussing the potential benefits, risks, and anticipated outcomes with an experienced plastic surgeon.

How Dr. Teitelbaum Can Help

Dr. Teitelbaum’s philosophy centers on patient well-being, transparency, and personalized care. For individuals concerned about BII, he provides:

Evidence-Based Insight: Drawing upon the most up-to-date research to guide clinical recommendations.
Individualized Evaluations: Carefully assessing each patient’s medical history, symptoms, and goals before suggesting the best path forward.
Surgical Expertise: Should implant removal or exchange be indicated, Dr. Teitelbaum’s renowned aesthetic skill ensures that both health and natural beauty remain paramount.
Ongoing Support: Patients receive comprehensive follow-up to monitor progress, address questions, and support long-term recovery and peace of mind.

Breast Implant Illness FAQ

What tests can diagnose BII?

There is no single definitive test for BII. Physicians may order blood panels, imaging studies, or other evaluations to explore potential autoimmune or inflammatory markers.

Does removing my implants always relieve symptoms?

Some patients report relief after removal, while others experience no change. The best way to determine if removal is right for you is through a personalized consultation and thorough medical workup.

Can I replace my implants if I have BII?

Depending on your circumstances and preferences, a well-managed implant exchange may be viable. Dr. Teitelbaum will discuss the potential benefits and risks, allowing you to make a well-informed decision.

What is the difference between Breast Implant Illness (BII) and Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL)?

BII is a term used for a broad range of patient-reported symptoms, including fatigue, joint pain, and brain fog. In contrast, BIA-ALCL is a rare form of non-Hodgkin’s lymphoma associated with the scar capsule around textured breast implants. Unlike BII, BIA-ALCL has been more clearly defined by medical research and recognized as a distinct condition. Dr. Teitelbaum advises discussing both possibilities thoroughly, as each condition requires a specific evaluation and management approach.

Can BII develop many years after my initial breast augmentation?

Yes. While some patients experience symptoms within the first year, others may not notice possible BII-related concerns until several years or even decades post-surgery. This delayed onset can make pinpointing a cause more difficult. Dr. Teitelbaum emphasizes thorough medical evaluations, including a complete health and surgical history, to help determine when implants may contribute to new or lingering health issues.

Do certain implant materials or textures pose a higher risk for BII?

Research is still evolving, and there is no definitive consensus on whether silicone, saline, smooth, or textured implants pose a “higher” risk for BII. However, some patients and physicians report different symptom patterns depending on the implant type or manufacturing process. Dr. Teitelbaum stays current with ongoing studies and discusses implant options with patients in depth, ensuring you understand potential benefits, limitations, and unknowns.

Learn About BII Solutions from a Trusted Surgical Authority

If you are concerned about Breast Implant Illness or would like to explore your options for healthier, more comfortable outcomes, schedule a consultation with Dr. Steven Teitelbaum. His patient-focused approach, commitment to research, and refined surgical artistry ensure you are guided with expertise, compassion, and the highest safety standards. Reach out today—your well-being is our top priority, and we are here to help you confidently navigate every step.