Not all scientists who believe that implants trigger autoimmune disorders finger microbes as the culprits. Many, despite substantial scientific evidence showing otherwise, steadfastly claim that silicone is to blame. "Many women don’t realize that saline implants are surrounded by a silicone shell, just like the one that surrounds silicone-gel implants," points out Frank Vasey, M.D., chief of rheumatology at the University of South Florida.
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A more tangible area of concern, acknowledged by almost everyone in the medical community: Implants may make it harder to detect breast cancer. One reason is that cancer cells can be confused with calcifications around the implant on a mammogram. Also, the sizeable sacs may obscure lumps one would normally notice in a self-exam. "This is very scary," charges Diana Zuckerman, Ph.D., president of the National Center for Policy Research for Women and Families in Washington, D.C., "because cancer may be missed or diagnosis delayed until the disease reaches a later stage, when it’s less curable."
Women need to push their doctors to be up-front about the risks, cautions Zuckerman, because some may downplay any bad news that could deflate their profits. And the FDA approval should not put you at ease, she warns: "To call saline implants safe on the basis of three- or four-year studies paid for by implant manufacturers leaves women dangerously in the dark." That’s why if you’re considering surgery, it’s crucial to check the FDA Web site (www.fda.gov) to learn about possible side effects and discuss them in depth with your surgeon. "Getting implants is a lifelong decision, because even if you later have them removed, your breasts will never look as good as they did before the operation," she stresses.
Ultimately, says Dr. Kolb, the Atlanta plastic surgeon who removed Kathryn Gordon’s implants, it’s up to women to make up their own minds–a conclusion shared by most medical professionals. Despite falling ill herself with unshakable fatigue, dizziness, muscle aches, numbness in her arms, dry eyes and memory problems after getting silicon[sic]-gel implants, Dr. Kolb continues to augment other women’s breasts, with saline, and now is delighted with the salt-water pair she wears herself. "How can I be totally against something I have in my own body? I agree there’s vast room for improvement, but as long as women are fully informed of the risks. Why can’t they decide for themselves, as I did?"
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