November 1, 2024

Breast Implant Illness

Breast Implant Illness (BII) is a term used to describe a wide range of symptoms that some individuals experience after getting breast implants—whether for cosmetic enhancement or reconstruction. These symptoms can be diverse and frustrating, often including persistent joint and muscle pain, chronic fatigue, and difficulties with memory and focus.

While BII is not yet an official medical diagnosis due to the lack of complete understanding in the medical community, many experts suspect that these symptoms could be linked to an autoimmune or inflammatory response triggered by the implants.

What makes BII particularly complex is that it can impact anyone with breast implants—regardless of the type. BII can still develop whether the implants are silicone gel, saline, smooth, textured, round, or teardrop-shaped.

Another thing is that it doesn’t matter if the implants have remained intact or have ruptured; symptoms can arise in either case. The idea that only ruptured implants cause this is a myth.

It’s also important to note that BII is distinct from rare cancers associated with breast implants, such as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL), other lymphomas, or breast implant-associated squamous cell carcinoma (BIA-SCC). While these conditions are more straightforward to diagnose, BII remains a unique challenge, often leaving those affected searching for a diagnosis, feeling misunderstood, and desperately seeking answers - sometimes seeing dozens of health practitioners along the way.  Many times, trying different detox regimens or cleanses, only to spend thousands of dollars trying to figure out why they are sick.

Understanding BII requires attention, research, and empathy—acknowledging that the symptoms are real, even if the mechanisms behind them are only now finally becoming understood.

Breast Implant Illness Signs and Symptoms

Breast Implant Illness (BII) refers to a collection of symptoms that some women experience after getting breast implants, including silicone and saline types. These symptoms can range widely and may include:

  • Fatigue - Persistent, unexplained tiredness that doesn’t improve with rest.
  • Brain Fog - Difficulty concentrating, memory problems, and feeling mentally “cloudy.”
  • Joint and Muscle Pain - Aching, stiffness, and discomfort in muscles and joints.
  • Hair Loss - Noticeable thinning or loss of hair.
  • Headaches - Frequent or severe headaches or migraines.
  • Anxiety and Depression - Increased feelings of anxiety, depression, or mood swings.
  • Chest Pain - Pain or discomfort in the chest area unrelated to cardiac issues.
  • Skin Rashes - Unexplained skin irritations, rashes, or itching.
  • Hormonal Imbalances - Symptoms such as irregular periods, thyroid issues, or other hormonal changes.
  • Digestive Issues - Bloating, constipation, diarrhea, or other gut-related problems.
  • Autoimmune-like Symptoms - Development of conditions that mimic autoimmune disorders (like lupus or rheumatoid arthritis).
  • Swollen Lymph Nodes - Unexplained swelling of lymph nodes, particularly in the neck and armpits.
  • Night Sweats - Excessive sweating during the night, often leading to soaked clothing or bedding.
  • Sensitivity to Light and Sound - Increased sensitivity to bright lights or loud noises.
  • Heart Palpitations - Irregular heartbeats, racing heart, or the feeling of the heart skipping beats.
  • Shortness of Breath - Difficulty breathing or feeling winded without exertion.
  • Dry Eyes and Mouth - Persistent dryness in the eyes and mouth.
  • Unexplained Weight Gain or Loss - Weight changes not associated with diet or exercise.
  • Chronic Pain - Persistent pain in various body parts, including back, neck, or shoulders.
  • Neurological Symptoms - Numbness, tingling, burning sensations, or other nerve-related symptoms.

The reality is that while breast implants can serve an aesthetic purpose or aid in reconstruction, they are not without risks. 

These risks go beyond simple surgical complications and dive deep into how an individual’s body may react to a foreign object being present long-term.

Why does Breast Implant Illness occur, and how common is it?

More women with breast implant illness symptoms are reporting those symptoms to their doctors and the FDA. (In fact, this was an emphasis during the FDA hearings about Breast implants in March 2019.) Based on those hearings, the FDA made some recommendations.

https://www.fda.gov/news-events/press-announcements/fda-strengthens-safety-requirements-and-updates-study-results-breast-implants 

It was clear from these FDA hearings that more research was needed. While the exact cause of BII remains unclear, several theories suggest that it may involve an autoimmune response, chronic inflammation, or bacterial contamination within the scar capsule that forms around the implant.

It’s worth noting here that every person forms a scar capsule around any implant placed into their body. Here is a list of the most common medical implants.

  • Dental Implants
  • Cardiac Pacemakers
  • Hip Replacements
  • Knee Replacements
  • Breast Implants
  • Intraocular Lenses (IOLs)
  • Spinal Implants
  • Cochlear Implants
  • Stents
  • Insulin Pumps
  • Contraceptive Implants
  • Orthopedic Plates and Screws
  • Defibrillators (ICDs)
  • Vascular Grafts
  • Neurostimulators
  • Artificial Heart Valves
  • Gastric Bands
  • Hernia Mesh Implants
  • Penile Implants
  • Bone Cement Implants

So what are we to do?

During the pandemic, both antigen and PCR tests were used. It became understood that PCR testing accurately detected viruses, bacteria, fungi, and mycobacterium. 

Advanced testing methods like polymerase chain reaction (PCR) have helped explant surgeons and patients understand the types and amounts of bacteria in the scar capsule surrounding breast implant(s).

A recent paper showcased the most extensive series of PCR-tested explant scar capsules to date and found a 29% rate of bacterial contamination in these capsules.

Although there is a great deal of speculation, often based on reports through social media, that mold is extremely common in implants, this is not the case. The most common contaminant(s) found on the scar capsule around the breast implant were Cuti Bacterium acnes and Staphylococcus epidermidis.

Another paper by Mithun Sinha explored the cause of many symptoms of breast implant illness, with research indicating that the interaction of the bacteria and the breast tissue can lead to the development of a molecule, oxylipin-10HOME, which causes immune system activation and many of symptoms of breast implant illness.

Further, a summary of the paper describing oxylipin 10-HOME was recently published by Katherine A. Gallagher. This paper summarizes the stimulation of the immune system and the ability to be reproduced experimentally for the first time.

These findings underscore why BII can manifest with such a wide variety of symptoms throughout a woman's immune system. Each individual’s immune system is unique, and how one body reacts to implants may differ significantly from another person’s reaction.

What is consistent, however, and must be emphasized is that countless women report improvements in their symptoms after having their implants removed. 

Since the papers highlight the bacterial contaminants on the scar capsule, this can also provide insight into why patients who do not have the entire capsule removed (capsulectomy) do not fully recover. There are several factors to consider in this complex patient response. 

Breast implant illness tests to evaluate for inflammation:

  1. Genetic Testing
  2. Food Sensitivity Testing
  3. Toxicity and Heavy Metal Testing
  4. Microbiome Assessment
  5. Hormonal Panels
  6. Metabolomics

Sadly, as described in this recent article, https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness, there is no single diagnostic test that can be performed for breast implant illness. The future will include the abovementioned tests and oxylipin 10-HOME and other molecules. (It is essential for doctors to also check for arthritis, Lyme disease, or thyroid issues.)

For many women, the decision to get implants was personal, whether for reconstruction post-mastectomy or for cosmetic reasons. However, if you are experiencing unexplained symptoms that seem to correlate with your implants, you are not alone. 

One of the most challenging aspects of dealing with BII is the feeling of being dismissed or told that “it’s all in your head.” I emphasize a holistic approach that starts with listening to each patient’s story and understanding their entire health journey—not just their implants.

Treating Breast Implant Illness

The first step is to lower Inflammation immediately! These are steps to implement right away. (Changing behaviors is the most important first step in lowering anyones inflammation.) These are practical steps to improve sleep quality, air, fluid, food, and skincare products. For more information, please read or listen to the work of Dr. Mark Hyman and others in the following books: “Food Fix,” “Eat Fat, Get Thin,” and “SHARP: How to Maximize Your Surgical Recovery With Functional and Traditional Medicine.”

Sleep Improvement

  1. Consider an evaluation for sleep apnea. (see product recommendations)
  2. Consistent Sleep Schedule - Going to bed and waking up at the same time daily.
  3. Sleep Environment - Creating a dark, cool, and quiet bedroom environment.
  4. Reducing Blue Light Exposure - Stop screen exposure 1 hour before bedtime.
  5. Food should be eaten at least 3 hours before.  Fluid intake, except for supplements, should end at 2 hours before. Supplements - Consider magnesium, melatonin SRT, and blends of adaptogens.  Eliminate alcohol consumption before bed.

Nutrition Adjustment

  1. Anti-Inflammatory Foods - Focus on leafy greens, berries, and fatty fish to reduce inflammation.
  2. Eliminating Processed Foods - Avoiding foods with additives, preservatives, and high sugar content.
  3. Organic Produce - Prioritizing organic fruits and vegetables to reduce pesticide exposure.
  4. Macros - Ensuring meals have a good balance of protein and healthy fats.  Complex carbohydrates should be minimized.

Improving Food Quality

  1. Choose Grass-Fed, Pasture-Raised Meats - Opting for higher quality animal proteins.
  2. Locally Sourced Foods - Supporting local farmers and opting for fresher, less processed ingredients.
  3. Avoiding Pesticides / Additives - Go organic and read labels to avoid harmful chemicals.
  4. Nutrient-rich superfoods - Incorporating foods like turmeric, chia seeds, and clean green powders for added nutrients.
  5. Avoid the most common inflammatory foods: Gluten and processed wheat, dairy, corn, sugar, artificial sweeteners, and processed foods (including processed meat).

Air Quality Enhancement

  1. Air Purifiers - Using HEPA air purifiers to reduce indoor pollutants and allergens.
  2. Houseplants - Adding air-purifying plants to indoor spaces for natural filtration.
  3. Regular Ventilation - Opening windows to allow fresh air circulation when possible.
  4. Minimizing Chemical Exposure - Avoiding harsh cleaning chemicals and opting for non-toxic alternatives.

Fluid Quality Improvement

  1. Filtered Water - Using high-quality water filters to remove contaminants.
  2. Avoid Plastic Bottles - Choose stainless steel or glass containers to avoid BPA and other plastic chemicals.
  3. Hydration Timing - Drinking water throughout the day, focusing on adequate intake in the morning and before meals.  Stop regular fluid consumption 2 hours before bed.
  4. Electrolyte Balance - Using natural electrolyte sources like coconut water or mineral drops to support hydration.

Skincare Quality Improvement

  1. Paraben free
  2. Gluten-free
  3. Environmental Working Group 

What To Do If You Suspect You Have BII

If you believe you are experiencing symptoms of BII, consider the following additional steps:

  1. Document Your Symptoms - Keep a detailed journal of what you are experiencing, including when symptoms began and any factors that exacerbate them.
  2. Consult a Specialist - Not all plastic surgeons are familiar with BII. Seek a surgeon who understands the condition and has experience with explant surgery. (Plan to interview 3 or 4 surgeons at least.)
  3. Research Your Options - If you are considering explant surgery, understand that removing the implant and the entire capsule is crucial. This process, known as an en bloc capsulectomy, ensures that no part of the capsule remains in the body—where bacteria or silicone particles may reside.
  4. Support Your Body! Focus on a holistic health approach. This should include a clean diet, exercise, detoxification strategies, and stress management.
  5. Take a simple urine test to evaluate your inflammation. Inflammation Test – Dr. Rob's Solutions
  6. Use supplements that have been shown to Lower Your Inflammation now! Inflammation Support Bundle – Dr. Rob's Solutions
  7. Learn about how we each detox differently.  Genetic testing can asses your ability to Detox. NVISN Labs
  8. Read or listen using the following Amazon link to learn more about how to care for yourself and Lower Your Inflammation Now! https://a.co/d/2Pi5yy1

Choosing an Explant Surgeon

Although there can be many questions to ask a surgeon, it is crucial to understand if they are comfortable performing the capsulectomy portion of the procedure.  If they are not, then you need to find another surgeon.  Below are the various types of capsulectomies.

  1. En Bloc Capsulectomy Description: The implant and the entire capsule of scar tissue are removed together in one piece without separating them.
  2. Capsule Removal: Entire capsule, in one piece.
  3. Implant Removal: Together with the implant.
  4. Surgical Complexity: High.
  5. Incision Size: Larger.
  6. Total or Complete Capsulectomy Description: The entire capsule is removed, but the implant may be removed first, then the scar tissue separately.
  7. Capsule Removal: Entire capsule, in pieces if necessary.
  8. Implant Removal: Separately from the implant.
  9. Total Precise Capsulectomy Description: A refined total capsulectomy with precise removal to minimize tissue damage.
  10. Capsule Removal: The entire capsule is removed very precisely.
  11. Implant Removal: Usually separately.
  12. Total Intact Capsulectomy Description: Aimed to remove the implant and capsule together, but allows removal in sections if needed.
  13. Capsule Removal: Entire capsule, ideally in one piece.
  14. Implant Removal: Together with implant or in sections.
  15. Partial Capsulectomy Description: Only part of the capsule is removed, typically the problematic sections.
  16. Capsule Removal: Part of the capsule.
  17. Implant Removal: Separately or together.

Holistic Approach: The SHARP Method

In my practice, I utilize the SHARP method to holistically address BII and the explant process.

The SHARP Method, developed by Dr. Robert Whitfield, is a comprehensive approach designed to support patients dealing with breast implant illness and those undergoing explant surgery. SHARP stands for Strategic Holistic Accelerated Recovery Program and provides the framework for the physical, mental, and emotional aspects of recovery. The process begins with Surgery, focusing on safely and effectively removing implants and scar tissue. Next is Healing, where Dr. Whitfield guides patients through targeted post-operative care to reduce inflammation and promote recovery. Antioxidants are incorporated to help detoxify the body and strengthen immune defenses, while Restoration emphasizes rebuilding essential health functions, such as gut health and hormone balance. Finally, Personalized Care is woven throughout the journey, ensuring each patient’s unique needs are met with customized plans. This method reflects Dr. Whitfield’s commitment to a thorough, patient-centered approach, empowering individuals to restore their health and vitality. SHARP - Strategic Holistic Accelerated Recovery Program - A book by Dr. Robert Whitfield

Patient Experiences

Lauryn Bosstick, LAURYN BOSSTICK (@laurynbosstick) • Instagram photos and videos co-host of The Skinny Confidential, shares a powerful firsthand experience as a patient of Dr. Robert Whitfield, delving into her journey with breast implant illness and explant surgery. In the video, Lauryn opens up about the debilitating symptoms she experienced, from chronic fatigue to brain fog, which led her to seek Dr. Whitfield’s expertise. She describes how his meticulous and compassionate approach, including his holistic SHARP method (Surgery, Healing, Antioxidants, Restoration, and Personalized Care), helped her feel empowered and informed throughout the process. Dr. Whitfield’s comprehensive testing and personalized care plan provided Lauryn with physical relief and an emotional transformation, allowing her to reclaim her health and vitality.Lauryn's Explant Surgery Ft Dr. Robert Whitfield - Everything You Want To Know About Breast Explants

Danica Patrick, Danica Patrick (@danicapatrick) • Instagram photos and videos, former race car driver and well-known athlete, has openly shared her journey with breast implant illness and her subsequent decision to undergo explant surgery. Initially, Danica opted for breast implants in 2014 but, over time, began experiencing a range of unexplained health issues that disrupted her vibrant, active lifestyle. Symptoms like fatigue, hair loss, and unusual weight fluctuations took a toll, leading her to investigate potential causes. After connecting with the stories of other women facing similar struggles, she realized that her implants might be the source of her health challenges. In 2022, she decided to have her implants removed. Since her explant surgery, Danica has been candid about her improved health and newfound clarity, using her platform to raise awareness about breast implant illness and the importance of listening to one’s body. Her story resonates with many, shedding light on the often-overlooked struggles of breast implant illness and the empowering choice of explant surgery.Dr. Robert Whitfield MD | ( BII ) BREAST IMPLANT ILLNESS | Are Your Breasts Making You Sick

Taylor Dukes, Taylor Dukes (@taylordukeswellness) • Instagram photos and videos, a functional medicine practitioner and health advocate, has openly shared her powerful story of dealing with breast implant illness and her decision to have explant surgery. Taylor began experiencing a cascade of mysterious symptoms after getting breast implants, including chronic fatigue, severe inflammation, brain fog, and hormonal imbalances that disrupted her health and life. Despite her background in health, she struggled to find answers, undergoing numerous tests and treatments without relief. After learning about breast implant illness and connecting the dots between her symptoms and implants, Taylor decided to undergo explant surgery, hoping to restore her health. Since the procedure, she has experienced significant relief from her symptoms and a return to her vibrant self. Now, Taylor uses her journey to educate others on breast implant illness, empowering women to make informed decisions and prioritize their health holistically.Navigating Brain Surgery and Explant: Insights from Taylor Dukes' Recovery with Dr. Robert Whitfield

Allie Janzen, Allie Janszen RN // HORMONE HEALTH & FAT LOSS COACH (@alliejanszen) • Instagram photos and videos shared her deeply personal journey with breast implant illness and the impact of her decision to undergo explant surgery. After getting breast implants, Allie began suffering from a host of troubling symptoms, including chronic fatigue, severe joint pain, brain fog, and debilitating anxiety. These symptoms took a toll on her life and well-being, leading her to search for answers through countless doctor visits and tests. Eventually, Allie discovered information about breast implant illness and realized her symptoms aligned with those of other women experiencing similar struggles. Committed to reclaiming her health, she decided to have her implants removed, which marked a turning point in her journey. Since her explant surgery, Allie has experienced remarkable improvements in her symptoms, regaining energy and clarity. She now uses her platform to raise awareness about breast implant illness, encouraging others to listen to their bodies and prioritize their health.Explant Journey, From Illness to Wellness: Allie Janszen’s story of Breast Implant Removal [EXPLANT]

Kasey Dixon, Kasey Dixon (@sbkliving) • Instagram photos and videos a wellness advocate and the founder of the lifestyle blog A Balanced Pursuit, has been vocal about her struggle with breast implant illness and her journey toward healing through explant surgery. After getting breast implants, Kasey began experiencing a series of troubling symptoms, including chronic fatigue, brain fog, joint pain, and digestive issues, which seemed unexplainable at first. Her health continued to decline, leading her to suspect a link between her implants and her symptoms. Through extensive research and connecting with other women with similar experiences, Kasey decided to have her implants removed. Since her explant surgery, she has noticed significant improvements in her health and energy levels. Now, Kasey uses her platform to share her story, educate others on breast implant illness, and empower women to make informed decisions about their health, advocating for wellness from a holistic perspective.Explant, is Breast Implant Illness Wrecking Your Health? Kasey Dixon Shares Her Experience

Casey Araujo, Casey Araujo (Levesque), a passionate advocate for health and wellness, has shared her journey with breast implant illness and her transformative decision to undergo explant surgery. Following her breast augmentation, Casey started experiencing troubling symptoms like persistent fatigue, joint pain, migraines, and severe digestive issues, which disrupted her daily life and well-being. Despite seeking medical advice, her symptoms remained unexplained, leaving her frustrated and exhausted. After extensive research and connecting with other women who faced similar health issues, Casey began to suspect her implants were the source of her struggles. Choosing to undergo explant surgery, she found her symptoms significantly improved, and her energy returned. Now, Casey uses her experience to raise awareness about breast implant illness, advocating for self-care, informed choices, and the importance of listening to one’s body.My Breast Implants Story with BII Survivor Casey Araujo and Dr. Robert Whitfield

Petra Furst, Petra Fürst | Beziehungscoach (@petrafuerst.beziehungscoach) • Instagram photos and videos a mindset coach and public speaker, has courageously shared her personal journey with breast implant illness and her decision to undergo explant surgery. After years of struggling with unexplained health issues—ranging from debilitating fatigue and muscle aches to severe migraines and brain fog—Petra began to suspect that her breast implants were at the root of her declining health. Despite consulting various medical professionals, her symptoms persisted, affecting both her physical well-being and her work as a coach. Determined to regain her health, Petra decided to have her implants removed. Since her explant surgery, she has experienced remarkable improvements in her symptoms, feeling a renewed sense of vitality and mental clarity. Petra now speaks openly about her experience, using her story to bring awareness to breast implant illness and encourage others to prioritize their health and self-care. Is Your Health at Risk? Breast Implants Exposed

Jacqui Nelson, Jacqui, Holistic Wellness 🦋 (@iamjacqui__) • Instagram photos and videos a health and fitness influencer, has bravely shared her battle with breast implant illness and the profound impact of her decision to undergo explant surgery. After receiving breast implants, Jacqui began to suffer from a range of puzzling health issues, including chronic fatigue, joint pain, and severe skin rashes, which disrupted her active lifestyle and left her searching for answers. Despite numerous doctor visits, her symptoms remained unexplained, and her health continued to decline. Through her own research and connecting with others in similar situations, Jacqui realized her implants could be the cause of her symptoms. She ultimately decided to have them removed and has since experienced a dramatic improvement in her health and energy. Today, Jacqui uses her platform to share her story, raise awareness about breast implant illness, and support others in making empowered choices for their well-being .https://youtu.be/zI5uTUyiIBE?si=yO8YQErJ8DnqJLfN

Chelsie Ward, GUT HEALTH | DETOX | NUTRITION (@chelsie_ward_wellness) • Instagram photos and videos a holistic health practitioner and wellness coach, has openly shared her journey with breast implant illness and the life-changing decision to undergo explant surgery. After experiencing a wide range of symptoms—including chronic fatigue, brain fog, digestive issues, and severe headaches—Chelsie’s health and well-being began to suffer. Despite her extensive knowledge of health and wellness, the root cause of her issues remained elusive until she connected her symptoms to her breast implants. Determined to reclaim her health, Chelsie chose to have her implants removed, a decision that marked the beginning of her recovery. Since her explant surgery, she has experienced significant relief from her symptoms, regaining her energy and mental clarity. Chelsie now uses her experience to educate others on the potential impacts of breast implants and empower them to make informed health choices, advocating for a holistic approach to healing and wellness.

The Emotional Journey of Explant Surgery

Deciding to undergo explant surgery can be both empowering and challenging. For many women, it’s not just about removing the implants but about reclaiming their health. The journey involves acknowledging the emotional toll that living with BII has had on your life and taking steps to move forward. 

This is why personalized care is crucial—I am dedicated to surgically, emotionally, and holistically supporting my patients throughout this journey.

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Final Thoughts

Breast Implant Illness is real, and it is time for the medical community to recognize the complex symptoms that many women face. 

If you’re struggling, don’t ignore what your body tells you. Your health and well-being are worth fighting for. My mission is to empower you with the knowledge, resources, and support you need to make the most informed decision possible about your health.

You are not alone, and solutions are out there to help you reclaim your well-being.

If you have questions or need more information, please don’t hesitate to reach out. I’m here to guide you every step of your healing journey.

For more information on BII, you can also explore resources like Breastcancer.org, which provides a wealth of data on symptoms, treatment, and the patient experience.

Empower yourself with knowledge, and don’t be afraid to ask for help—your health is your most valuable asset.

Dr. Robert Whitfield

Board-Certified Plastic Surgeon | Breast Implant Illness and Breast Explant Expert | Holistic Health Advocate

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