Australian Study on ALCL and Textured Breast Implants

A recent article by Deva and associates published in the August 2020 edition of the Aesthetic Surgery Journal outlines the authors’ experience in a study of over 100 women in Australia who developed ALCL (anaplastic large cell lymphoma) also known as BIA-ALCL (breast implant-associated anaplastic large cell lymphoma) a rare malignancy around their breast implants.*

Before and after 300cc smooth walled saline implants 

The participants in the study had on the average had their breast implants inserted 7 years prior.  All the patients who were affected by ALCL had textured breast implants.  The implant with the highest incidence of malignancy, being a rate of 1 in 2,000, was from the polyurethane implant also known as the foam implant.

The foam implant with its textured surface was very popular among Australian surgeons until it was recently recalled from the market.  This implant was also highly popularised under the name of the “furry implant” or “furry Brazilian breast implant”.  Dr Hodgkinson has never used “furry implants” or the “furry Brazilians” or foam/polyurethane implants.  In fact, he wrote a blog back in 2011 when these implants were being heavily marketed entitled “The Fuzzy Logic Behind Brazilian Breast Implants”.  He has in rare cases, such as in reconstructions or complicated removal and re-augmentations, used textured wall silicone or saline implants as smooth walled implants are not viable in these circumstances as the “pocket” has been irrevocably compromised by trauma or previous surgeries but have never used the foam/polyurethane variant.

If you have ANY breast implant, you should have your implants checked annually or immediately if you have any cause for concern.  As you should have regular health check-ups to ensure you do not have any underlying medical conditions which you might not be aware of, so too should you have implant check-ups for both your health and peace of mind.

*Deva, AK et al; “Breast Implant Associated Anaplastic Large Cell Lymphoma in Australia”; Aesthetic Surgery Journal (2020) 40:838-846


Dr Darryl Hodgkinson

About Dr Darryl Hodgkinson

Dr. Darryl J. Hodgkinson is recognized world-wide as an expert in cosmetic plastic surgery with more than thirty years of experience in both cosmetic and plastic/reconstructive surgery.

Dr. Hodgkinson did his plastic surgical training at the prestigious Mayo Clinic in the United States and is amongst an elite group of a very few surgeons to hold two degrees in plastic surgery from American Board of Plastic and Reconstructive Surgeons and the Royal College of Surgeons, Canada.

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