Women can't keep breast implants for life: FDA

WASHINGTON Wed Jun 22, 2011 4:08pm EDT

A surgeon holds a breast implant for a patient at his clinic in Caracas, November 5, 2009. REUTERS/Jorge Silva

A surgeon holds a breast implant for a patient at his clinic in Caracas, November 5, 2009.

Credit: Reuters/Jorge Silva

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WASHINGTON (Reuters) - Women who get silicone breast implants are likely to need additional surgery within 10 years to address complications such as rupturing of the device, U.S. health regulators said on Wednesday.

The Food and Drug Administration will work to revise safety labels for silicone breast implants after reviewing data from several long-term studies, which also showed that the products had a small link to a rare form of cancer.

The agency said the studies overall confirmed its decision that implants can be used safely, but noted the conclusions could be limited because some women dropped out.

"The key point is that breast implants are not lifetime devices," said Jeff Shuren, director of the FDA's Center for Devices and Radiological Health. "The longer you have the implant, the more likely you are to have complications."

There were almost 400,000 breast enlargement or reconstruction procedures in the United States in 2010, according to the American Society of Plastic Surgeons. That includes silicone and saline implants.

Up to 70 percent of all women who received surgery due to disease or trauma, and up to 40 percent of those getting an enlargement procedure using silicone, needed another operation within 10 years, post-approval studies showed.

The FDA approved silicone gel-filled breast implants sold by Allergan and Johnson & Johnson's Mentor unit in 2006. It had banned silicone implants for most U.S. women in 1992 after some complained that the devices leaked and made them chronically ill.

As a condition of taking the devices to market, both companies were required to conduct post-approval studies of 40,000 women for 10 years, as well as extend smaller pre-approval studies. The FDA considered the companies' results, as well as reports of negative events and scientific literature.

LOCALIZED COMPLICATIONS

Based on the data, the FDA said most common complications were localized, such as the hardening of the breast area around the implant, rupture or deflation of it, and the need for additional surgeries.

Other local complications include implant wrinkling, asymmetry, scarring, pain, and infection at the incision site.

The report also found a small correlation between implants and anaplastic large-cell lymphoma, a form of cancer that affects about 3,000 Americans a year.

From 1997 to 2010, there were about 60 cases of ALCL reported for women worldwide out of about 5 million to 10 million women who had breast implants, Shuren said.

"If there's a true association between that cancer and implants, it's very, very rare," he said.

The FDA said most long-term studies confirmed initial results, and that most risks of implants were well known.

"Most women reported high levels of satisfaction with their body image and the shape, feel and size of their implants," the FDA report said, adding that they should monitor their breasts for the rest of their lives.

The agency also cautioned that post-approval study data could be limited because of the low response rates.

In the large 10-year studies of 80,000 women, Allergan has collected preliminary two-year data for 60 percent of participants, while Mentor has collected three-year data for only 21 percent.

Diane Zuckerman, president of the advocacy group National Research Center for Women & Families, said the high dropout rates meant the study was not accurate.

"So many of the women dropped out before the research was completed that it is impossible to say what percentage of women need additional surgery or have health problems five or 10 years after getting breast implants," she said.

"This raises questions about FDA's reliance on studies required after a product is approved," she added.

Allergan shares were down 0.9 percent at $82.04 on the New York Stock Exchange, while Johnson & Johnson dipped 0.2 percent to $66.36.

(Editing by Michele Gershberg and Lisa Von Ahn)

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Comments (20)
DianeCee wrote:
A relative of mine got diagnosed with breast cancer, so an implant was used to replace the diseased breast. Several years later, she was diagnosed with lupus which was the direct result of a leaking implant. She was awarded %100,000 from the maker of the implant, but couldn’t receive it until she died,,,,,which, of course, happened.

Jun 22, 2011 11:21am EDT  --  Report as abuse
So let me get this straight: 60 out of 5,000,000 to 10,000,000 constitutes a ‘link’ to cancer? That’s a .0012 percent chance! You might as well say ‘Breast implants have a link to lightening strikes’ or ‘Winning the lottery’, or even ‘getting a hit TV show’, because the odds of that are higher!

This is the problem with people today, they believe really stupid crap. Every ‘scientist’ on that study who signed it and agree about the ‘risk of cancer’ should be banned from science for the rest of their lives! You can NOT draw a statistical sample from something below the noise threshold! Sheesh, stupid people.

Jun 22, 2011 11:29am EDT  --  Report as abuse
orangemtl wrote:
Dear FDA:
P—s off. It’s not your business to dictate what people do. If they’re fine, they’re fine.
Just more scare tactic ‘advice’ from Holy Mother Government.

Jun 22, 2011 1:09pm EDT  --  Report as abuse
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