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Understanding Breast Implant Illness, ALCL, and Explant Specialists

Breast Augmentation

June 17, 2025

If you've been hearing more about breast implant illness (BII) and potential complications associated with breast implants, you're not alone. Over the years, concerns around breast implants and their relation to certain symptoms have gained significant attention. As a result, many women are exploring whether explant surgery is the right option for them. To help you make an informed decision about your health and aesthetic goals, we’re addressing some common concerns about BII, ALCL (anaplastic large cell lymphoma), and the truth about explant specialists.

What You Need to Know About Breast Implant Illness

Breast implant illness is a term often used to describe a collection of symptoms that some women experience after getting breast implants. While BII is not recognized as an official medical diagnosis, many women report symptoms such as:

  • Fatigue and sleep disturbances
  • Chest pain and chronic pain
  • Brain fog and neurological issues
  • Depression and anxiety
  • Hormonal imbalances
  • Skin-related symptoms like rashes and hair loss

What makes BII particularly complex is its variability. Symptoms can develop immediately after surgery or many years later. Currently, research into BII is ongoing, and while some patients report improvement after explant surgery (implant removal), outcomes vary. It’s important to remember that every woman’s body responds differently, and what works for one may not work for all.

If you suspect you might have BII, having an open and honest discussion with a board-certified plastic surgeon is essential. They can offer insights based on the latest research and guide you toward the best path for your individual situation.

BIA-ALCL and Textured Implants

One breast implant-related complication that is medically recognized is a rare type of cancer called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). This condition is primarily linked to certain textured breast implants and occurs in fewer than 0.1% of patients with implants.

Typical warning signs of BIA-ALCL may include:

  • Severe swelling or pain near the implant that begins 12 months or more after surgery
  • Lumps or changes in the shape of the breast without external injury

The FDA does not recommend removing implants that are symptom-free. However, continued care and follow-up with your surgeon are crucial if you have concerns or experience unusual symptoms. Always communicate any changes to your physician immediately.

Thankfully, most implants used today are designed with safety in mind and are not associated with BIA-ALCL. Your surgeon can provide reassurance and guide you through proper monitoring protocols if needed.

Explant Surgery and the Truth About Explant Specialists

Growing awareness of BII and BIA-ALCL has fueled a rise in interest around "explant surgery", where breast implants are removed. While this can be an important option for some women, it’s equally vital to approach this decision thoughtfully.

Breast implant removal is actually a routine procedure for qualified plastic surgeons. Many women choose to remove their implants for reasons ranging from aesthetic changes to medical concerns, like capsular contracture. Some opt for replacement implants, while others undergo a breast lift or allow their bodies to heal naturally.

Unfortunately, not all practitioners advertising themselves as "explant specialists" are truly qualified. Some capitalize on patient fears, often charging exorbitant fees or pushing unnecessary surgeries. For the best care, always seek a board-certified plastic surgeon with a proven track record in breast implant removal. These professionals are uniquely trained not only to ensure the safe removal of implants but also to deliver aesthetically pleasing results.

Choosing Your Path Forward

Whether you’re experiencing symptoms of breast implant illness, concerned about BIA-ALCL, or simply considering explant surgery for personal reasons, here’s where to start:

1. Research and Consultations

Begin by consulting with a board-certified plastic surgeon who is well-versed in the latest research and techniques. They can answer your questions and provide clarity on your specific situation.

2. Monitor Your Symptoms

Keep track of any unusual physical changes or symptoms, even if they seem minor. Provide this information to your physician for a detailed evaluation.

3. Don’t Be Rushed

Making changes to your body is a highly personal decision. Don’t feel pressured into any procedure without fully understanding your options and outcomes.

4. Understand the Risks

While explant surgery is generally safe, all surgeries carry risks. Discuss these with your surgeon and weigh them against the benefits.

5. Consider Aesthetic Plans

If you opt for implant removal, decide whether you’d like to include additional procedures like a breast lift to achieve your aesthetic goals.

About Board-Certified Plastic Surgeons

A board-certified plastic surgeon combines technical excellence with aesthetic expertise. They’re not only trained to ensure safe outcomes but also capable of delivering beautiful, natural-looking results. This level of training and certification offers you the peace of mind that your health and aesthetic goals are in capable hands.

A Partner in Your Journey

If you’ve been considering explant surgery or are navigating concerns about your breast implants, we’re here to help. Our highly skilled team is committed to creating a safe, judgment-free environment where you can explore your options with expert guidance.

Your health, your confidence, and your satisfaction are at the core of what we do. Call us at 616-454-1256 to book a consultation with one of our board-certified plastic surgeons today to take the first step toward clarity and peace of mind. Together, we’ll find a solution that’s right for you.

Additional Resources

For more information about Breast Implant Illness (BII) or Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), we recommend the following trusted sources:

  • American Society of Plastic Surgeons (ASPS) – www.plasticsurgery.org
  • U.S. Food and Drug Administration (FDA) – www.fda.gov
  • National Comprehensive Cancer Network (NCCN) – www.nccn.org
  • The Aesthetic Society (ASAPS) – www.theaestheticsociety.org

These resources provide in-depth, evidence-based information to help you better understand these conditions and make informed decisions about your health. If you have further questions or need personalized guidance, don’t hesitate to reach out to our expert team.

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