Number of silicone explants grows exponentially in Brazil – Health News


In 2020, Brazil recorded a 31% increase in breast explant surgeries compared to the previous year

Since 2018, the numbers of breast implants have grown exponentially in Brazil. According to the International Society of Plastic Surgery, that year, 14,600 silicone removal surgeries were performed. In 2019, the index jumped to 19.4 thousand, and in 2020, it reached 25 thousand.

The movement is increasingly strong in the country, where 200,000 people undergo silicone implant surgery a year. To understand this phenomenon, the iG Health spoke with the president of the Brazilian Society of Mastology (SBM), Vilmar Marques.

In his opinion, what is changing is the mentality of a portion of women, who want to live with – and accept – the natural characteristics of the body again.

“What we observe is that the search for the explant has been motivated by other causes, not disease. It is a lifestyle choice. Many women see their female figure no longer needing the implant, and there is a social movement in this area. direction. What was a fad in the 1990s, 2000s, is no longer”, he explains.

“Obviously, there is another side to this coin, which is ASIA syndrome (Autoimmune Syndrome Induced by Adjuvants) and silicone disease, but among the patients who come to us, few fit into one. illness. And what they want is to remove the implant because they don’t need it.”


The therapist Vanessa Paula chose to have silicone implants after getting pregnant and having saggy breasts. Dissatisfied and with self-esteem problems, she had the surgery in 2006. Six months later, she presented a condition of rejection. On medical advice, she gave massages and took medicine, which made the problem go away. Nine years later, they came back in full force, and she chose to have her prosthetics removed.

“In 2015, there was no talk about it. Some people talked about rejection, but it wasn’t explained in depth like today. I discovered that the silicone had encapsulated. I decided to remove it”.

She consulted the doctor and was instructed to change the silicone prosthesis. But, decided, she looked for another professional, and she also had to have a mammoplasty to remove the excess skin.

“We removed it, but before the explant, I had to undergo psychological preparation to withstand the post. I would lose a lot of clothes, I wouldn’t have that ‘decoton’. My family, my husband, were scared. At that time it was normal to put on, not remove . I was even insecure about taking it off or not taking it off”, says Vanessa.

The Doctor. Vilmar Marques warns about this moment, which can be delicate. “Breast explantation, when there is no disease, is a simple surgery. But the patient has to accept the result. What I mean by that – if her breast was practically just a breast implant, her breast will be much smaller , saccular, flaccid. When we indicate the implant, we have as a premise to inform that this is a surgery almost forever’, he points out.

“Hardly anyone who puts it on is left without it, because she gets used to the appearance, the breast volume. When this explant is removed, there is no volume at all. For her, the result can be unsightly without an implant. And if she really wants to keep the shape, the volume, then the surgery becomes more complex.”

‘Silicone disease’ and ASIA syndrome

‘Silicone disease’ was the term found by many women to define a series of symptoms that, according to them, would be related to prostheses. In social networks, it is common to find reports and alerts, but there is still no scientific proof about the association of the implant and the development of symptoms.

“The ‘silicon disease’ is not proven in the studies published so far. In recent studies, the last well-conducted one was in 2021, paired patients with implant and only with mammoplasty. In the analysis of the data, the symptomatology of the two cases is the same, there is no increase in symptoms in those who used implants”, explains the doctor.

“There will be highly allergic people, who feel sick with any substance. These patients, using silicone for a long period, can develop a process of antibodies, which can generate a systemic condition, with several symptoms. It may exist, but it is not usual , and statistically it is not significant. If there is silicone disease, it is rare, and it will happen in a very small slice of patients.”

ASIA, however, is an autoimmune or inflammatory syndrome induced by an adjuvant, substances that are present in the prosthesis that can trigger an immune response.

For the time being, there are also few literatures that analyze the topic. According to the mastologist, it was first described by Israeli Yehuda Shoenfeld. There is, however, no laboratory imaging exam or diagnostic criteria validated and accepted worldwide for this syndrome.

“That’s how the ASIA syndrome came about, not only linked to silicone, but to the body. It’s very complicated. There are millions of women with silicone, it’s an extremely active market. There are at least 30 million women around the world, and this contingent that seeks to withdraw is still very small”, says Dr. Vilmar on the relationship between the explant and ASIA.

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