HomeMy WebLinkAboutClinton News-Record, 1985-10-23, Page 42Spotter, Q4tober 23' 90
aro tliarterl lto%n page 11
made a.lot of motley by
augntentjng female breasts." —
Dr. Carol Massey.
each year nolo wouren
*cording to. ASPRS figures)
wilt^have tneii' breasts surgically
enlarged with plastic implants.
Nearly a third of these
augmentation mammoplasties are
repair procedures (or women
who. have lost a breast to cancer;
the other two thirds are
performed solely for cosmetic
reasons.
The implants, silicone gel
inside an envelope, are an
improvement over the original
method of augmenting breast
size: injecting silicone straight
into breast tissue. Unfortunately,
the silicone shifted, sometimes
causing grotesque shapes.
More than a million women to
date have had this newer
procedure. How have they
fared?
Surgeon John A. Gilbert says,
"in some cases, women do not
develop breasts at all. They were
truly flat -chested until surgery
gave them small breasts. In my
experience, those cases work
better. And certainly one could
argue the psychological need for
surgery balances the risk."
The remaining cosmetic
implant patients are women who
have chosen to increase healthy,
normal breasts purely for reasons
of vanity. Dr. Gilbert says, "I
think few of them understand the
real risks when they da so. even
when the dangers aye
explained,"
Risks include the same chance
for infection or hemorrhage that
can occur in any operation. But
the real problems with breast
implants may not develop for
years. They seemed like a better
idea ten years ago than they do
today.
Justine's new breasts were
lovely" for five years. Then
she began experiencing some
discomfort. Her doctor explained
that the capsules off scar tissue
which. had formed around the
implants were shrinking, a
normal process.
"Several months later my
breasts were hard and painful.
One was noticeably higher than
the other. So the implants had to
be removed and new ones
inserted," she says.
These capsular contractures
occur in approximately 30
percent of implant patients,
according to Dr. Norman Hugo
of the ASPRS.
"Opinions vary with the
surgeon," he says, "but it is
reasonable for women to expect
them to some extent."
Justine's second set of
implants were in place a little
over a year when she
experienced another "common"
problem: Small amounts of
silicone began to bleed through
the seams of the implants into
surrounding breast tissue. Those
email antounta 9f siliecate
seepage were "nothing to worry
about'" her doctor said -- but
not all doctors agriee with him.
Dr. Gilbert says, "We don't
know the seepage is harmful.
We don't know it isn't either.
There is a lack of data on the
subject. Until we .can study
women who have experienced
this seepage over a prolonged
period of time, we wont know
how dangerous it is. Any one
considering an implant should
take this into account."
A blow to the breast can
puncture an implant, causing all
or most of the gel to leak and
creating deformities which
would have to be surgically
corrected. And some doctors say
breast cancer is harrier to detect
in implant patients. The scar
tissues can hide cancerous lumps
from the doctor's touch.
Are implants worth such
risks?
Dr. Gilbert says, "In most
cases, no."
He cites a Florida study
conducted on 34 patients for 10
years. Sixteen of the 34 had
their implants removed or
removed and replaced.
"That's a lot of unnecessary
surgery which entails a great
deal of risk to life. And none of
those women were ever in any
medical danger from small
breasts."
Please turn to page 19
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