Friends,

I’ve noticed that cosmetic surgery has been a major conversation within social groups. And yet, I think many of us don’t realize the risks involved in entering foreign objects into our bodies. And when you think about it, that’s precisely what Breast Implants are. Dr. Amanda Savage Brown provides an in-depth exploration of breast implant illness (BII) and the psychological complexities surrounding cosmetic surgery.

Breast implants have been a popular cosmetic procedure since the 1960s. Initially, the silicone used in these implants was more liquid, but today’s implants are more viscous, often referred to as “gummy bear” implants. Despite technological advancements, the body often reacts to these foreign objects with an immune response, forming scar capsules around the implants. This can lead to complications such as capsular contracture, where the tissue tightens around the implant, causing discomfort and an unnatural appearance.

More than the science, there’s the psychological. Dr. Brown discusses the “breast rule book,” a societal construct that dictates the idealized appearance of breasts and the associated value placed on them. This construct influences many women’s decisions to get implants, as they seek to align their physical appearance with societal standards of femininity and attractiveness. The desire to belong and meet these standards often overrides concerns about the risks, leading many to undergo surgery despite potential complications.

And what about Informed consent? Amanda shares her own experience of being misinformed about the longevity and safety of breast implants. She emphasizes the importance of providing accurate and comprehensive information to patients, allowing them to make truly informed decisions. Many women are not aware that implants are not lifetime devices and may require replacement or removal, often leading to additional surgeries and complications. The lack of thorough informed consent can leave individuals unprepared for the realities of living with implants and the potential health issues that may arise.

Dr. Brown’s personal journey with breast implants serves as a powerful example of the complexities surrounding these decisions. Her experience of feeling fraudulent while teaching self-acceptance, despite dealing with her own issues with implants, underscores the importance of aligning one’s actions with personal values.

Check out Amanda’s work here. And visit her site too.