3 min readSep 25, 2024 07:32 PM IST
First published on: Sep 25, 2024 at 07:13 AM IST
Recently, social media sensation Urfi Javed expressed her desire to acquire silicone implants for breast enhancement and decided to go ahead with the surgery despite the doctor explaining the potential risks and complications she could face. The trouble with this defiance is that it not only presents a distorted idea of body image that can mislead young girls, who are under confident about their bodies, it also sweeps aside health risks that they ought to know about.
Dr Rohan Khandelwal, oncologist and head of the Breast Centre at CK Birla Hospital, Gurugram, sheds light on the hidden dangers of silicone implants, busts a few myths and offers insights into safer alternatives.
Myth: Silicone implants are completely safe
While many people have successful outcomes, the risk potential for complications and long-term health effects is quite high. Post-surgery infections can occur, requiring additional medical intervention and sometimes removal of the implants.
There could be capsular contracture, a condition that involves the hardening of scar tissue around the implant, causing pain and deformity. Besides, silicone implants can rupture, leading to leakage of silicone gel, which can cause inflammation and other complications. Some individuals report systemic symptoms like fatigue, joint pain and cognitive issues, believed to be linked to their implants. This is called breast implant illness (BII).
Most importantly, implants can obscure mammogram images, making it more challenging to detect breast cancer early. With certain breast implants, there is also a low risk of developing a type of cancer known as breast implant-associated anaplastic large cell lymphoma (BIA-ALCL).
Myth: Silicone implants last a lifetime
Most implants need to be replaced every 10-15 years and complications can necessitate earlier removal. Repeated insertion and removal of implants can further exacerbate health risks. Frequent surgeries can damage breast tissue and skin, leading to complications in healing and changes in breast shape. Each surgery increases the amount of scar tissue, which can lead to chronic pain and disfigurement.
The emotional toll of multiple surgeries and the fluctuating body image can affect mental health, leading to anxiety and depression.
Myth: Implants are the only way to enhance breast size
Alternatives like fat grafting and self-tissue cultures offer safer options with natural results. This involves using a patient’s own fat tissue to enhance breast volume through a graft. The benefits include a lower risk of rejection and allergic reactions. Besides, self-tissue augmentation often provides a more natural look and feel compared to silicone implants. The self-tissue graft procedure generally has a lower risk of complications like infections and capsular contracture.
Myth: Silicone implants are for everybody
Silicone implants should be considered only under specific conditions.
1. Medical Necessity: For reconstructive purposes post-mastectomy or severe trauma.
2. Informed Decision: Patients should be fully informed of the risks, benefits, and alternatives.
3. Qualified Surgeon: The procedure should be performed by a certified and experienced plastic surgeon in a reputable medical facility.
While silicone implants can provide the desired aesthetic results, it is imperative to understand the associated risks and complications given your personal health history and triggers.
Most implants need to be replaced every 10-15 years and complications can necessitate earlier removal. (Photo: Urfi Javed/Instagram) 
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