Six years ago I had breast cancer. The doctor removed my breast and I decided to try the gummy bears. I have one in the side that I had my breast removed and one in the other side with my natural breast. This last year I have had joint fatigue and my hands are extremely sore. I was wondering have you have heard anything like this from somebody having the gummy bear implants. It seems the side of my body with my natural breast which has an implant is the worst. It is hard to open bottles and make a tight grip and my hips and knees ache also. Can you give me some insight into this? Thank you !
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Dr. Glicksman responded:
Dear Lynn:
The Institute of Medicine Report in 1998 reviewed over a thousand published papers and concluded that is is no known relationship between silicone breast implants and any systemic disease. That being said, the next few issues concern your breast reconstruction and augmentation six years ago. First, are you sure that you have form stable breast implants"gummy Bears"? Many surgeons use the term loosely to describe gel implants. There are very few surgeons in each state that have access to "gummy Bears", and your first step is to contact your plastic surgeon to make sure that they are form stable implants and that there is no problem with your breast implants. The next issue are your sysmtoms, with a history of breast cancer, you should be followed by your oncologist, and they should also be informed if you are haveing symptoms of pain and fatique. Finally, you did not state your age, but arthritis and autoimmune conditions should also be ruled out.
The "Gummy Bear", form stable breast implants have some of the lowest rupture and capsular contracture rates of any gel implant, and have not been linked to autoimmune or systemic illnesses. Further information is available at http://www.highlycohesivegels.com
Caroline Glicksman,MD
Dr. Baxter responded:
I am sorry to hear about your problems but 6 years cancer-free is certainly worth celebrating. Arthritis, muscle pains and similar problems were thought to be related to silicone implants by some and this led to a moratorium on their use nearly 20 years ago. As a result of this, numerous studies were done and they all concluded that there is no relationship. The standard gel implants were cleared by the FDA 3 years ago, and the gummy bear implants (technically called form-stable implants) are pending. All versions of silicone gel currently in use are cohesive, meaning that they are a semi-solid which holds together even if the shell of the implant is disrupted. I would recommend that you be evaluated by the plastic surgeon who placed the implants, especially since you would have to be in a clinical trial to have had them so the follow-up is important.