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Comparative Examination of Complaints of Patients with
Breast Cancer with and Without Silicone Implants
J Obstet Gynecol Reprod Boil
This study compared the number and type of complaints
reported by patients with breast cancer who had had silicone
gel implants and those without implants. The authors recognized
their study's limitations to determine causality between
silicone implants and nonobjective symptomatology associated
with vague functional syndromes, and they made attempts
to improve the objectivity of certain diagnostic symptoms
The results failed to demonstrate a direct correlation
between patients with saline- filled implants and those
with silicone gel-filled implants would be a useful addition
to this study.
As plastic surgeons, we took particular note of the
authors' observation that "many women consider
[implant reconstruction] to be artificial and unnatural."
These observations should motivate recontstructive surgeons
as they continue to critically examine their results
and improve the quality and safety of breast reconstruction.
J.E. Craigie, MD
R.J. Allen, MD