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Contextualizing the Impact of Pop Culture on Breast Implant Illness and its Medical Relevance

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Abstract

Introduction

Despite a lack of data demonstrating causation, there is growing concern over breast implants and systemic illness. This study examines the impact of rising public interest in breast implant illness (BII) and its implications on breast implant removals (BIR).

Methods

A Google Trends (GT) analysis of each year between 2010 and 2022 was performed globally, and then separately for the United States alone (US), using the search terms “capsular contracture,” “breast implant illness,” and “breast implant(s) removal”. Linear regression was performed to determine significant correlations. Data on BII-related Facebook advocacy groups, relevant pop culture events, numbers of BIR surgeries, and number of BII-related publications were collected and analyzed alongside GT data to determine relevance.

Results

For global GT, there was a significant relationship between “breast implant illness” and “breast implant(s) removal” in 2016 (R2=0.62, β =0.33, p<0.01), 2020 (R2=0.53, β =0.23, p=0.01), and 2022 (R2=0.60, β =0.44, p=0.01). In the US, 2016 (R2=0.53, β =1.75, p=0.01) 2018 (R2=0.61, β =1.93, p<0.01) and 2020 (R2=0.72, β=0.91, p<0.01) were significant. In 2020, “capsular contracture” and “breast implant(s) removal” was significant in the US (R2=0.58, β=0.4, p=0.01). In 2016, Facebook was the platform for the largest BII advocacy group and in 2020 YouTube was the platform for the first BII documentary and TEDx talk. From 2010 to 2020, PubMed publications containing “ASIA” and “BII” increased 24-fold and ASPS reports on BIR rose 70%.

Conclusion

This study suggests that BII is a topic of global concern and has implications on both academic medicine and clinical practice.

Level of Evidence V

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

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References

  1. Steve AK, Temple-Oberle C, Yeung JK, Lafreniere AS, Harrop AR (2021) You helped create this, help me now: a qualitative analysis of patients’ concerns about breast implants and a proposed strategy for moving forward. Plast Reconstr Surg 147(1):16e–24e. https://doi.org/10.1097/PRS.0000000000007422

    Article  CAS  PubMed  Google Scholar 

  2. Brozena SJ, Fenske NA, Cruse CW et al (1988) Human adjuvant disease following augmentation mammoplasty. Arch Dermatol 124(9):1383–1386

    Article  CAS  PubMed  Google Scholar 

  3. Kumagai Y, Abe C, Shiokawa Y (1979) Scleroderma after cosmetic surgery: four cases of human adjuvant disease. Arthritis Rheum 22(5):532–537. https://doi.org/10.1002/art.1780220514

    Article  CAS  PubMed  Google Scholar 

  4. Atiyeh B, Emsieh S (2022) Breast Implant Illness (BII): real syndrome or a social media phenomenon? A narrative review of the literature. Aesthetic Plast Surg 46(1):43–57. https://doi.org/10.1007/s00266-021-02428-8

    Article  PubMed  Google Scholar 

  5. Rohrich RJ, Kaplan J, Dayan E (2019) Silicone implant illness: science versus myth? Plast Reconstr Surg 144(1):98–109. https://doi.org/10.1097/PRS.0000000000005710

    Article  CAS  PubMed  Google Scholar 

  6. Borenstein D (1994) Siliconosis: a spectrum of illness. Semin Arthritis Rheum 24(1 Suppl 1):1–7. https://doi.org/10.1016/0049-0172(94)90102-3

    Article  CAS  PubMed  Google Scholar 

  7. Bridges AJ (1994) Autoantibodies in patients with silicone implants. Semin Arthritis Rheum 24(1 Suppl 1):54–60. https://doi.org/10.1016/0049-0172(94)90110-4

    Article  CAS  PubMed  Google Scholar 

  8. Shoenfeld Y, Agmon-Levin N (2011) ASIA—autoimmune/inflammatory syndrome induced by adjuvants. J Autoimmun 36(1):4–8. https://doi.org/10.1016/j.jaut.2010.07.003

    Article  CAS  PubMed  Google Scholar 

  9. Tang SYQ, Israel JS, Afifi AM (2017) Breast implant illness: symptoms, patient concerns, and the power of social media. Plast Reconstr Surg 140(5):765e–766e. https://doi.org/10.1097/PRS.0000000000003785

    Article  CAS  PubMed  Google Scholar 

  10. Magno-Padron DA, Luo J, Jessop TC et al (2021) A population-based study of breast implant illness. Arch Plast Surg 48(4):353–360. https://doi.org/10.5999/aps.2020.02117

    Article  PubMed  PubMed Central  Google Scholar 

  11. Kessler DA (1992) The basis of the FDA’s decision on breast implants. N Engl J Med 326(25):1713–1715. https://doi.org/10.1056/NEJM199206183262525

    Article  CAS  PubMed  Google Scholar 

  12. Institute of Medicine (US) Committee on the Safety of Silicone Breast Implants; Bondurant S, Ernster V, Herdman R (eds.) (1999) Safety of silicone breast implants. Washington, D.C.: National Academies Press

  13. Kaplan J, Rohrich R (2021) Breast implant illness: a topic in review. Gland Surg 10(1):430–443. https://doi.org/10.21037/gs-20-231

    Article  PubMed  PubMed Central  Google Scholar 

  14. FDA (2022) Medical device reports for systemic symptoms in women with breast implants. https://www.fda.gov/medical-devices/breast-implants/medical-device-reports-systemic-symptoms-women-breast-implants#a

  15. FDA (2020) FDA updates analysis of medical device reports of breast implant illness and breast implant-associated lymphoma. Accessed October 17, 2022. https://www.fda.gov/news-events/press-announcements/fda-updates-analysis-medical-device-reports-breast-implant-illness-and-breast-implant-associated

  16. FDA (2021) FDA strengthens safety requirements and updates study results for breast implants. Accessed October 17, 2022. https://www.fda.gov/news-events/press-announcements/fda-strengthens-safety-requirements-and-updates-study-results-breast-implants

  17. FDA (2020) Breast implants–certain labeling recommendations to improve patient communication. Accessed October 17, 2022. https://www.fda.gov/regulatory-information/search-fda-guidance-documents/breast-implants-certain-labeling-recommendations-improve-patient-communication

  18. Al Omran Y, Abdall-Razak A, Sohrabi C et al (2020) Use of augmented reality in reconstructive microsurgery: a systematic review and development of the augmented reality microsurgery score. J Reconstr Microsurg 36(4):261–270. https://doi.org/10.1055/s-0039-3401832

    Article  PubMed  Google Scholar 

  19. Adidharma W, Latack KR, Colohan SM, Morrison SD, Cederna PS (2020) Breast implant illness: are social media and the internet worrying patients sick? Plast Reconstr Surg 145(1):225e–227e. https://doi.org/10.1097/PRS.0000000000006361

    Article  CAS  PubMed  Google Scholar 

  20. StatCounter (2022) Social media stats worldwide. Accessed October 18, 2022. https://gs.statcounter.com/social-media-stats

  21. StatCounter (2022) Search engine market share worldwide. Accessed October 18, 2022. https://gs.statcounter.com/search-engine-market-share

  22. Offodile AC 2nd, Clemens MW (2018) Decisions and incisions: the role of choice architecture in surgical decision making. Aesthet Surg J 38(5):575–577. https://doi.org/10.1093/asj/sjy009

    Article  PubMed  Google Scholar 

  23. Tian WM, Rames JD, Blau JA, Taskindoust M, Hollenbeck ST (2022) Contextualizing breast implant removal patterns with google trends: big data applications in surgical demand. Plast Reconstr Surg Glob Open 10(1):e4005. https://doi.org/10.1097/GOX.0000000000004005

    Article  PubMed  PubMed Central  Google Scholar 

  24. Bachour Y (2021) Capsular contracture in breast implant surgery: where are we now and where are we going? Aesthetic Plast Surg 45(3):1328–1337. https://doi.org/10.1007/s00266-021-02141-6

    Article  PubMed  Google Scholar 

  25. ASPS (2022) Plastic surgery statistics. Accessed October 18, 2022. https://www.plasticsurgery.org/news/plastic-surgery-statistics

  26. ICIJ (2022) The 30-year fight for breast implant safety. Accessed September 20, 2022. https://www.youtube.com/watch?v=8vXRodwO4pU

  27. Diaz T (2022) How to be your own advocate. Breast Implant Health Summit. Accessed October 22, 2022. https://www.breastimplanthealthsummit.com/terri-diaz

  28. Despres C, Robyn Towt (2022) Breast cancer survivor, advocate for women suffering from breast implant illness. Salud America. Accessed October 20 2022. https://salud-america.org/robyn-towt-breast-cancer-survivor-advocate-for-women-suffering-from-breast-implant-illness/

  29. State Senate of Arizona (2022) SENATE BILL 1001 October 20, 2022. Accessed October 18, 2022. https://www.azleg.gov/legtext/55leg/1r/bills/sb1001s.pdf

  30. Daruda N (2022) Welcome to healing breast implant illness. Healing Breast Implant Illness. Accessed October 20, 2022. https://www.healingbreastimplantillness.com/healing-breast-implant-illness/#

  31. Hefner C (2016) My breast implants slowly poisoned me. Facebook. Accessed October 20, 2022. https://www.facebook.com/CrystalHarrisHefner/posts/my-breast-implants-slowly-poisoned-me-intolerance-to-foods-and-beverages-unexpla/1120201251379469/

  32. Mulholland A, Dunham J (2018) Woman says removing breast implants improved her health. CTV News. Accessed October 20, 2022. https://www.ctvnews.ca/health/woman-says-removing-breast-implants-improved-her-health-1.4034689

  33. Campbell L (2018) Her breast implants were poisoning her for years. This is her story. Healthline. Accessed October 20, 2022. https://www.healthline.com/health-news/former-miss-america-shares-her-story-of-breast-implant-poisoning

  34. Quinn D (2019) Michelle Visage says she had her breast implants removed due to her Hashimoto's disease. People Magazine. Accessed October 20, 2022. https://people.com/health/michelle-visage-breast-implants-removed-hashimotos-disease/

  35. Wood L (2020) TOXIC TITS. Accessed October 20, 2022. https://www.youtube.com/watch?v=ou0eQQDSKGM&t=240s

  36. TEDx Talks (2022) The science behind breast implant illnesses |Laura Miles| TEDxUCO. Accessed October 20, 2022. https://www.youtube.com/watch?v=PAprdn6bt9I

  37. IMDb (2021) Explant. Accessed October 20, 2022. https://www.imdb.com/title/tt14892064/

  38. Tisdale A (2022) Instagram. Accessed October 20, 2022. https://www.instagram.com/p/CD_qbPDlajA/?utm_source=ig_embed&ig_rid=7896711c-a845-46d1-8adf-b3dcf3fdd820

  39. Ushe N (2021) Tamra Judge removes breast implants, says she’s already noticing ‘Health improvements’. People Magazine. Accessed October 20, 2022. https://people.com/health/tamra-judge-removes-breast-implants-already-noticing-health-improvements/

  40. TEDx Talks (2020) Why I am boobless after beast implant illness |Lacey Marie| TEDxIdahoFalls October 20, 2022. https://www.youtube.com/watch?v=s_APuiU03k8

  41. Coroneos CJ, Selber JC, Offodile AC 2nd, Butler CE, Clemens MW (2019) US FDA breast implant postapproval studies: long-term outcomes in 99,993 patients. Ann Surg 269(1):30–36. https://doi.org/10.1097/SLA.0000000000002990

    Article  PubMed  Google Scholar 

  42. Spoor J, de Jong D, de Boer M et al (2022) Bradford Hill and breast implant illness: no evidence for causal association with breast implants. Expert Rev Clin Immunol 18(8):773–775. https://doi.org/10.1080/1744666X.2022.2090339

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, 10 Union Square East, Suite 2L, New York, NY, 10003, USA

    Anaïs Di Via Ioschpe, Olachi O. Oleru, Martina Brozynski, Nargiz Seyidova & Peter W. Henderson

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Correspondence to Peter W. Henderson.

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Di Via Ioschpe, A., Oleru, O.O., Brozynski, M. et al. Contextualizing the Impact of Pop Culture on Breast Implant Illness and its Medical Relevance. Aesth Plast Surg 48, 1056–1065 (2024). https://doi.org/10.1007/s00266-023-03422-y

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