Since the early 1990s, a number of independent systemic comprehensive reviews have examined studies concerning links between silicone gel breast implants and claims of systemic diseases. The consensus of these reviews (outlined below under Safety of Breast Implants heading) is that there has been no evidence of a causal link between the implantation of saline or silicone breast implants and systemic disease After investigating this issue, the U.S. FDA has concurred and since reaffirmed that “the weight of the epidemiological evidence published in the literature does not support an association between fibromyalgia and breast implants.”. A comprehensive systemic review by Lipworth (2011) [77] concludes that "any claims that remain regarding an association between cosmetic breast implants and CTDs are not supported by the scientific literature".
Women who are planning on undergoing breast augmentation can choose between low, moderate, and high profile implants. The implant profile refers to how much it projects from the chest wall. Low profile implants are appropriate for patients with substantial existing breast tissue or women who want a conservative augmentation. Moderate and high profile implants are ideal for those with minimal breast tissue who desire a prominent breast profile.

Inframammary: an incision made to the inframammary fold (natural crease under your breast), which affords maximal access for precise dissection of the tissues and emplacement of the breast implants. It is the preferred surgical technique for emplacing silicone-gel implants, because it better exposes the breast tissue–pectoralis muscle interface; yet, IMF implantation can produce thicker, slightly more visible surgical scars.
In surgical practice, for the reconstruction of a breast, the tissue expander device is a temporary breast prosthesis used to form and establish an implant pocket for the future permanent breast implant. For the correction of male breast defects and deformities, the pectoral implant is the breast prosthesis used for the reconstruction and the aesthetic repair of a man’s chest wall (see: gynecomastia and mastopexy).
In 2006, for the Inamed Corporation and for the Mentor Corporation, the U.S. Food and Drug Administration lifted its restrictions against using silicone-gel breast implants for breast reconstruction and for augmentation mammoplasty. Yet, the approval was conditional upon accepting FDA monitoring, the completion of 10-year-mark studies of the women who already had the breast implants, and the completion of a second, 10-year-mark study of the safety of the breast implants in 40,000 other women.[103] The FDA warned the public that breast implants do carry medical risks, and recommended that women who undergo breast augmentation should periodically undergo MRI examinations to screen for signs of either shell rupture or of filler leakage, or both conditions; and ordered that breast surgery patients be provided with detailed, informational brochures explaining the medical risks of using silicone-gel breast implants.[97]

So I had a boob job when I was 20 and had to pay for it myself too. However, fast forward 5 years and I’ve been going through what’s called capsular contracture where your boob basically moves upward due to the increasing of scar tissue on top of the implant. So now my 10-20 year investment has turned into a 5 year sunk cost, and if we’re being honest here, I absolutely hate how my boobs look. I went from being a 32A to a 32D or 30DD depending on the store. AND I AM PISSED. He used 275CC’s on each side and went under the muscle. I never wanted to be this big, I wanted to be a small but full C. First of all, my doctor doesn’t even practice anymore, huge red flag. Secondly, when my mom had hers redone from this same guy, he made her a size larger than she wanted. And since I was so tiny and tight in my chest my boobs look like bolt ons. They’ve never really settled! I’m so frustrated, especially now that next year, I’m going to have to go under the knife, have my contracture taken care of, have new implants put in, recover from that, and then deal with all the horrible side effects of going under the knife (hair loss, depression, etc). I can’t wear bikinis anymore because my left boob looks like it’s fresh from surgery while my right one is slowly joining it. Had my 20 year old self had more confidence and self awareness she would have waited until after she had children. I’m thoroughly concerned with not being able to breastfeed when I decide to have children since the incision was at the nipple. Oh and that’s nice that your doctor made such a small incision, the doctor I used basically cut the entire underhalf of my nipple. This wasn’t like a groupon doctor either, he was at the time, one of the best doctors in the city! I’ve already talked to another doctor and we’ve discussed doing a tear drop shape implant and using silicone, even though saline if it were to burst is safer for your body to absorb, for my tightness in my chest this would be the best route. And we’re going to go in from underneath the boob. It was funny when I was telling this new doctor all about my issues he almost looked in horror when he saw my breasts since the previous doctor obviously did such a bad job. ugh. over it. Hoping the next set are better than these! Thanks for sharing this info, I definitely think you need to include a section on “what happens when boob surgeries go wrong” you can use me as a case study. I have the most botched boobs. Oh and you can see the rippling of the implant when I flex my pectoral muscles.

Questions did arise about implants. In 1988, the FDA categorized silicone breast implants as requiring stringent safety and effectiveness standards and later required premarket approval applications from manufacturers. On April 10, 1991, the FDA issued a regulation requiring manufacturers of silicone-gel-filled implants to submit information on their safety and effectiveness in order for the devices to continue to be marketed. In 1992, the FDA banned most uses of silicone-filled implants because the manufacturers had not proved their safety. In 1993, the agency notified saline implant manufacturers that they, too, must submit safety and effectiveness data, although these implants were allowed to stay on the market.
Silicone gel−filled breast implants have been under scrutiny for years, but after gathering detailed and meticulous research and data, the FDA has approved them for use in cosmetic breast enhancement surgery, finding no link between silicone gel breast implants and connective tissue disease, breast cancer or reproductive problems. In addition, the FDA has approved three companies to develop and market breast implants and continue to collect data on their long-term safety and efficacy. For more information, please see the FDA breast implant information provided on their site.
12: I luv them and my self esteem has improved, my sex drive has increased as has my confidence. I can honestly look at myself and feel like a woman . I am comfortable in my skin and I can actually be in a bra and not feel insecure. I feel like a woman . I am no longer ashamed or embarrassed around my nieces who were developing and bigger than I was. I feel like I can wear what I want and not feel like a little kid. This is the best decision I ever made for myself regardless what anyone thinks. I finally love myself.
It is fair to say that not everyone is happy with their outcome, but the majority of women are really happy and say that their surgery changed their lives. Over the years the majority of women I have spoken to have been happy with their surgical choices. Do you have breast implants? Do you love or hate yours? Interested in being interviewed, send us an email!
Instead, the FDA issued a compassionate need exemption policy on October 23, 1992, which restricted silicone gel implants in the U.S. to women willing to participate in studies, including a large “Adjunct Study” for reconstruction patients and women with broken implants (called “revision” patients).  Approximately 1,000 women, including first-time augmentation, reconstruction, and implant replacement patients participated in each company’s “Core Study.”  It is important to note that the companies defined reconstruction patients to include many women who are not mastectomy patients.  Women were also be “reconstructed” to correct “deformities” such as very droopy breasts and “severe” asymmetry (both subjectively defined by the plastic surgeons).   Implant manufacturers could have collected and published extensive safety data from these studies.  However, they did not do so.
I had a breast augmentation with Dr. Lawton four years ago and I can tell you that I am EXTREMELY pleased with the results. I went in initially for a consult and was nervous about the procedure. Dr. Lawton was extremely professional. Dr. Lawton along with his nurses and staff were very friendly which immediately put my mind at ease. He thoroughly explained the process, took my measurements and we worked together to obtain the goal of finding the perfect size! I have since referred friends, co-workers and family. I wouldn't hesitate to send someone his way because of my own personal experience. I loved that the consultation, surgery and all follow-ups are all done on site at one location rather than having to drive to different centers. The procedure itself was minimally invasive and it was a seamless recovery. A+++ to Dr. Lawton and his staff!

Silicone implant rupture can be evaluated using magnetic resonance imaging; from the long-term MRI data for single-lumen breast implants, the European literature about second generation silicone-gel breast implants (1970s design), reported silent device-rupture rates of 8–15 percent at 10-years post-implantation (15–30% of the patients).[56][57][58][59]

When I had my initial consultation and in the process of choosing my surgeon, it was really important for me to know that my surgeon understood my concerns of breast cancer. My darling mother was unfortunately diagnosed with breast cancer in 2015 so having my boobs done was something very close to my heart (literally) and hers. As women we are all taught to monitor our breasts, massage them regularly and feel for lumps, so I was worried that with implants I wouldn’t be able to feel for this. I decided to go with a surgeon who specialised in Breast Oncology so he understood my concerns completely and of course, was able to make my breast look as natural as possible (given he constructs them from scratch most of the time). The good news is ladies, implants or not, doctors are able to monitor your breast exactly the same, so don’t be afraid to have them squished down in the boob machine – they wont burst!.
Thanks for sharing, Lauryn! I haven’t been ballsy enough to talk about my boob job on my blog! I had mine 6 years ago when I was 23. My recovery was horrible because I didn’t listen to the instructions of setting an alarm to wake myself every 3 hours to take my pain killer medicine. I woke up the night after my surgery and almost went into shock! I couldn’t open doors for myself or open jars for about a week, but other than that I was back at work at a restaurant 2 days later. It has helped me feel so much better about myself and I am so glad I saved up to get the surgery done- I did it for me and its one of the best decisions I’ve ever made. I am like you though, I now wish I went bigger because I’ve gotten used to the size over the years.. even though I have Cs I don’t feel like I have big boobs even though I used to think they were huge! I will go bigger next time around.. thanks for sharing your experience!!! 🙂
Until 1976, when the “Medical Devices” law was passed, there was no federal regulation of implants. Although the 1976 law gave the Food and Drug Administration (FDA) jurisdiction over such devices, breast implants were “grandfathered,” meaning that manufacturers were not required to provide the FDA with scientific evidence of product safety unless questions arose about the safety and effectiveness of these already marketed devices.
For many years, women had complained about the lack of information they received before implant surgery. Many said they had received no data on possible complications, pain, and the chance that the implant would not last forever. This lack of information was due, in part, to the fact that silicone breast implants were widely used before there was any requirement for research and documentation of the safety and effectiveness of medical devices.
Mammography: Breast implants interfere with the detection of breast cancer because implants can obscure the mammography image of a tumor.  Implants therefore have the potential to delay the diagnosis of breast cancer.  Although special techniques are designed to minimize the interference of the implants, the most recent research indicates that 55% of breast tumors will still be obscured.[32] That is much higher than the 33% obscured in women without implants in the same study.  Mammograms also tend to be less accurate if the woman has capsular contracture.  In addition, a study by FDA scientists indicates that silicone or saline implants sometimes rupture when women undergo mammograms.[33] For that reason, women with implants may be reluctant to undergo mammograms because of fear of rupture.  The alternative, undergoing a regular breast coil MRI to check for cancer, is prohibitively expensive for many women at an average cost of $2,000 each time.
Breast augmentation with autologous fat transfer requires two procedures: liposuction and fat injection. Using liposuction techniques, your plastic surgeon will remove your fat cells from a predetermined location with a cannula, process the fat and then inject the fat into your breasts. Your liposuction incisions will be closed with sutures, and you will wear compression garments over the liposuction areas and your breasts.