Removal and Replacement of PIP Implants
Before and After Pictures of Changing Breast Implants - Click Here
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PIP Update 25th January 2013
In the previous year Mr Sivarajan exchanged over 70 PIP breast implants. In total approximately a third of these were ruptured, which fits with the findings of other surgeons. What is alarming, however, was the number of these ruptured implants which showed signs of an intense inflammatory reaction within the breast and occasional lymph gland involvement. In fact more than half of the PIP implants that were ruptured showed this reaction with pus around the implants. This does not happen with other breast implants.
The number of patients coming forward with PIP implants has fallen over the last couple of months and therefore we will no longer be offering the very discounted prices we introduced last year in an effort to help as many people as possible. However, we have worked hard to maintain prices as competitive as possible and PIP replacement can still be carried out for as little as £3499.
We are dismayed to hear that Harley Medical Group are seeking to avoid their legal responsibilities to their patients and await Sir Bruce Keogh's review into the PIP scandal and the wider aspects of Cosmetic Medicine and Surgery.
PIP Update 2nd April 2012
Mr Vivek Sivarajan has now changed 52 PIP Breast Implants. So far we have found 6 ruptured (11.5%) and 16 with severe gel bleed (30.7%). Six Implants were surrounded by thick purulent fluid (11.5%), a sample of which has been taken for analysis by the MHRA. All the patients we have treated so far have opted for replacement of their implants with either Nagor implants (62%) or Allergan Implants (38%). One lady so far has required removal of involved lymph nodes in her arm pit.
PIP Update 25th February 2012
Mr Vivek Sivarajan has now changed 28 PIP breast implants. So far we have found 3 ruptured (9.3%) and 10 with severe gel bleed (36%). However, the majority of the initial implants removed were all less than 3 years old. We are noticing much higher rates of rupture and gel bleed in older implants, possibly approaching 50% in those older than 6 years. Please click here for photographs showing the condition of the ruptured implants being removed. We are contantly keeping the MHRA informed of our findings and all patients will get photographs of the removed implants, whether or not they wish to keep their implants.
PIP Update 3rd February 2012
Mr Vivek Sivarajan has now removed 9 PIP implants. Out of those first 9 implants none have been ruptured, but 4 have had severe gel bleed with thick yellow oily liquid surrounding the implants. These implants, however, were all less than 3 years old. We have also scanned 17 PIP implants and found 1 rupture on ultrasound so far. It will be interesting to see if any of these implants are actually ruptured in Theatre. We will keep updating our results as we get them
Gel Bleed is a condition when silicone oil found normally within the silicone in all implants diffuses through the wall of the implant without the implant actually bursting. It was commonly found in old implants from 20 years ago, but is much less common with modern implants which have multiple shells, or thickened shells to reduce the leakage of this oil. Our initial findings suggest PIP implants have a higher rate of gel bleed than implants from other manufacturers. We are constantly updating the MHRA regarding our findings.
PIP Breast Implants were commonly used by Harley Medical Group, Transform, Sprire Murrayfield and Surgicare. In recent weeks the French and German Authorities have recommended that all these implants are removed. The silicone within these implants is not fit for implantation within the body. The company making these implants replaced the medical grade silicone with an industrial grade silicone which was destined for use in mattresses. The UK Authorities are recommeding removal if the patient wishes and any NHS implants will be changed by the NHS. The Nuffield have pledged to change all implants with no cost to the patient. The large Cosmetic Surgery Groups, Harley Medical and Transform have released statements saying they WILL NOT change implants for their patients, unless they pay.
My opinion, and that of my colleagues is that these implants should all be removed. We have this opinion for a number of reasons:
1. Although these implants are not known to cause cancer it is too early to say this definitively and no one can predict what may happen in the coming years. What we do know is that this gel should never have entered the body
2. The implants have been shown to have a higher rupture rate in other countries. Unfortunately there is no central register of breast implants in the UK and therefore what data we have about rupture rates comes from the big Cosmetic Surgery Companies and it is unknown how reliable this is. It is surprising though that in the UK, unlike all other counties, the data regarding rupture rates is inconsistent.
3. If these implants rupture the gel appears to be very irritant to the body and can be picked up by the lymph glands leading to large disfiguring swellings under the arms. If this happens surgery needs, not only removal of the breast implants, but removal of the lymph glands in some cases and scars under the arms and risks of upper limb swelling. This surgery is much more invasive and risky than removing the implants before there are problems.
The Cosmetic Surgery Companies have spent years making millions using some of the cheapest implants on the market whilst still charging 'top dollar.' As Surgeons we have very costly medical insurance to cover against problems like this. The Companies have a moral and ethical responsibility to look after their patients. To argue that you cannot afford it or that it will make the company bankrupt is to avoid the obvious point that why did they not take out insurance as well, instead of maximising profits?
At Elanic we will only use FDA approved Allergan or Mentor implants for implant replacement. Some women may decide not to have new implants placed. This can leave a lot of skin on the breasts and the breasts can look like empty bags. Remodeling the breasts using a mastopexy can be carried out to give a more natural breast shape, although again, the cost will be higher.
BAAPS Surgeon Mr Vivek Sivarajan
Call 0800 334 5153 / 0141 332 5106 or contact us