Breast Implant Illness (BII)

A Rare But Real Problem Cassileth Plastic Surgery Can Help With in Beverly Hills

After getting breast implants, some women experience symptoms including fatigue, hypothyroidism, gastrointestinal problems, autoimmune symptoms, joint pain, and more. Only some of these women have capsular contracture and are visibly "reacting" to their implants, and we see many of these women who decide to have their implants removed.

Cassileth Plastic Surgery & Skin Care

Contact Cassileth Plastic Surgery for help with breast implant illness (BII) in Beverly Hills. Send a message online to arrange a consultation, or call (310) -278-8200.

Before & After

Browse our gallery of plastic surgery results to see the real-life difference our work has made on patients just like you, who came to us for help and care.

Before & After Photos
Before & After Photos
Before & After Photos

*Individual results may vary

Every surgery will yield unique results, but before-and-after images are an excellent way to see the quality of natural-looking outcomes our experienced plastic surgeons are capable of providing.

As a group, we are dedicated to working with these patients to uncover the underlying cause of the BII. More than 50 percent of these patients carry biofilms, and specimens taken from these patients at the time of surgery are positive for different varieties of bacteria. Keep in mind this is not an infection, but bacteria that are living on the implant surface.

Dr. Cassileth
Breast Specialist

Board-Certified Beverly Hills Plastic Surgeon, Breast Specialist, and Direct-to-Implant Breast Reconstruction Inventor

American Society of Plastic Surgeons
American Board of Plastic Surgery
American College of Surgeons
The Aesthetic Society
Dr. Cassileth

Despite that the bacteria are not causing an abscess, fever, or pus, they can cause inflammation and burden the immune system, especially in patients prone to inflammation and oxidative stress. To diagnose the biofilm, cultures are obtained during surgery using a sterile technique from a direct capsule specimen that did not touch the skin surface. Note there is a lot of P. Acnes, which is usually known for its involvement in facial acne. It's notorious for causing inflammation, so we are not surprised to find it in some of our most symptomatic patients.

*Individual patient results may vary.

Surgical removal of the implant for BII (breast implant illness) involves removal of the entire capsule (capsulectomy). There has been a debate about whether this is necessary or not, but those of us who are veterans in the field have found positive cultures in capsule remnants where implants have been removed with prior surgery. Therefore, it is important to remove the whole capsule.

Dr. Killeen

Dr. Killeen
Breast and Body Plastic and Reconstructive Surgeon

Double-Board-Certified Beverly Hills Plastic Surgeon and Breast & Body Specialist

American Society of Plastic Surgeons
American Board of Plastic Surgery
American College of Surgeons
The Aesthetic Society

We also frequently find silicone and silicone granulomas in capsules—even in patients who do not have ruptured implants.

Typically, the incision is made under the breast (in the inferior mammary crease), although the areola can be used as well. Removal can be "en bloc" (which involves a larger incision) or whole component (which means the implant is removed, then the capsule is removed). Most patients prefer the smaller scar of the component removal, which can be performed without spillage of implant or capsule contents.

With implants placed under the pectoral muscle, the pectoral muscle must always be repaired. Leaving the pectoral muscle with the cut from the original augmentation can result in pec flex deformity. Reconnecting the pectoral muscle with the rib surface both repairs and strengthens the muscle to its original position.

For women who want to maintain fullness in the breast, we often combine fat grafting with implant removal or an internal lift to maintain fullness and create and restore beautiful, natural breast shape.

Many of our patients with BII find that their symptoms improve after removal of their implants.

Cassileth Plastic Surgery & Skin Care

Arrange a consultation for breast implant illness at the Los Angeles area's Cassileth Plastic Surgery. Women from Beverly Hills, Santa Monica, and beyond can Send a message online or call (310) -278-8200.

Spread the love

Connect with us on social media! We pride ourselves on building real relationships with our patients near and far.