I had my breast augmentation surgery (saline breast implants) in 1969. I became sicker and sicker over the next 38 years until I was forced to face the fact that my health problems were most likely linked to my saline breast implants

Dr. Melmed, Dallas, TX, did the explant surgery; Dr. Pierre Blais, Ottowa, Canada, was the pathologist.

What if I had learned years ago, or decades ago, what my pathology report revealed to me after my explant surgery?

What if someone had told me that silicone shells of saline (and gel) implants deteriorate inside a woman's body, releasing crystalline silica and other chemicals into surrounding tissue? Let me be that "someone" for you.

Doctors are held to a "reasonable doctor standard." This means that the doctor's standard of care need only be as good as that of a reasonably qualified physician.

Do you know how this affects your informed consent? If a doctor goes along with the AMA/FDA "party line" on a given medical issue like breast implants, he cannot be sued when breast implants harm you. A doctor may know of patients who become ill after augmentation, but he is not constrained to share that information with you.

Question, with common sense, information from the FDA Handbook (link on this page) which says: "Silicon is an element that is one component of the polymer silicone and is one of the most abundant elements on the earth. Everyone is exposed to silicon." So silica isn't harmful to you as sand on a beach; but what about crystalline silica inside a person's body? OSHA considers silica in the lungs to be a serious health condition (link on this webpage). Certainly the article entitled "T-cell mediated immune response to silica in silicone breast implant patients" (last article in PUBMED Package 01) must raise a question in your mind about the cyrstalline silica from breast implants being as innocuous as sand. What about the medical research written by Shanklin and Smalley shown on the last page of the second follow-up from the pathologist? I must ask how much "evidence" do YOU need to determine that the breakdown of breast implants inside a woman's body has the potential to harm her health?

The information you need is out there; you just have to read it . . . think about it . . . and then make a truly informed decision.

Empower yourself. Go to PubMed yourself and do some research, just as I did. Here is the link to the search page for the National Institutes for Health Medical Library. NIH medical library (PUBMED) You will need to be creative in your search attempts, because medical researchers often use different terms than we do. A case in point is the reference to "silicone based medical devices" in the Shanklin/Smalley medical research. I wish you luck in your quest to determine what is the best course for you. I can tell you with a surety that "perky boobs" will mean nothing to you when you are in your sixties--and your health will mean everything.

Original pathology report - saline breast implants

Follow-up to Pathology Report on saline breast implants

Second follow-up from pathologist

Toxic chemicals in breast implants

PUB MED Research - breast implants

FDA 2004 Breast Implant Consumer Handbook Specific_Issues

OSHA Publication 1376 Crystalline Silica Exposure