LAUSR

The purpose of this special topic paper is to review the pivotal events in the history of breast implants in the United States, from the events leading to the FDA Moratorium on the use of silicone gel implants and subsequent approval, the emergence of breast implant associated anaplastic large cell lymphoma, and persistent concerns about an association between breast implants, autoimmune disease, and systemic symptoms. This paper reviews the medical literature to outline our current knowledge on BIA-ALCL with recommendations for diagnosis and management of symptomatic and asymptomatic patients with textured implants and the science of potential associations of implants to autoimmune and systemic symptoms so that we can help our patients separate myths from reality and make educated decisions on having breast implants placed or removed.