Explantation Advice from Dr. Susan Kolb

Explantation sites all over the internet are giving incomplete and incorrect information. Many self proclaimed experts of these sites give medical and sometimes legal advice that does not benefit patients ill from defective breast implants. These support group "leaders" do not understand the complexity and the different types of diseases their readers are dealing with. Every week I received phone calls from patients who had explantation elsewhere and are now more ill than prior to explantation due to lack of the proper surgery and especially the proper treatment of co-infections and attention to detoxification and immune and endocrine support during surgery. Some have had significant bleeding and or clotting as their surgeons do not understand this disease of bio-toxins and high cardiolipins. Some have adrenal crises due to lack of adrenal support during surgery. Most are out of money and now cannot afford the correct treatment.

Using an en bloc technique:
The myth of the en bloc explantation is distorted in many sites. En bloc is only needed for ruptured silicone explantations and is often not possible due to scarring of the capsule to the chest wall. Also, no sites mention the importance of removing silicone laden axillary lymph nodes which are defective and carry the risk of lymphoma (especially in textured implants) and cancer due to the carcinogens in the silicone. Patients do not regain their health with these lymph nodes still in the body as there is a significant amount of silicone left behind.

The auto-immune factor:
Defective silicone implants cause an autoimmune disease due to chemical toxicity in some patients with genetic tendencies usually very soon after the implants are placed. These patients should never have silicone including fabric softeners and skin care products with Dimethicone, or they can develop diseases such as Hashimoto's thyroiditis.

One third (33%) of the population has a detoxification defect that is usually genetic. When the chemicals start to leak out of silicone implants (usually after trauma or in about eight years due to a lipolysis (a breakdown of lipids) reaction of the shell), these patients become ill with a fibromyalgia type illness with high yeast levels due to a T cell immune problem. Silicone implants should be changed out every eight years to prevent this problem in all patients per Dow Corning engineering data. Patients may also develop an endocrine and neurological disorder from this leakage.

Defective saline implants often become contaminated with mold and one fourth (25%) of the population cannot get rid of mold bio-toxins. They develop a fibromyalgia type illness as well called Sick Building Syndrome. Older saline implants start to break down and the patients can also develop chemical toxicity. Textured implants (silicone or saline) break down and clog up the lymphatic system to a greater degree than smooth implants.

Effective Treatment:
One needs to determine the type of toxicity before treatment may begin. These are the
following toxicities: silicone, chemical, bio-toxins, and heavy metal toxicity. Treatment of these breast implant related illnesses and toxicities need to be treated for the patient to recover. Only doctors educated in Integrative Holistic Medicine are able to treat these patients in my clinical experience.

Co-infections including bacterial, mold, yeast, viral, parasites, and intracellular infections also need to be treated for the patient to recover. Over half of the patients have an intracellular mycoplasma or spirochete (these cause RA, Lyme's disease, interstitial cystitis, MS, and other significant chronic fatigue illnesses). Anti-fungals must be given around the time of surgery usually for several months on a rotating basis due to the development of fungal resistance to these drugs. We are dealing with mold spores in the chest wall and natural treatments are not effective. Anti-viral and anti-parasitic treatments are often needed in my patients. Untreated parasite infections predispose patients to cancer later in life.

Both intracellular infections (the basis of our biological warfare system) and mold bio-toxin diseases are politically incorrect, so very few doctors understand their treatment. Also, long term antibiotics for intracellular infections usually cannot be given to breast implant patients due to a problem with yeast overgrowth. Special programs usually natural treatment and electromagnetic treatments are needed.

Cancer Risks:
Patients also have an increased risk for cancer that needs to be addresses. Repair of the T cell immune system as well as observation of any moles that may be changing is important in this patient population. Anti-parasitic treatments are also needed to prevent cancer later on.
Patients after explantation have an increased risk of both breast cancer and fibrocystic breast disease (due to removal of the pressure from the implants). This needs to be addressed by treating the cause of fibrocystic disease including estrogen dominance, iodine deficiency, and toxic chemical effects often from the implant breaking down.

In summary, the correct surgery, including total capsulectomy, removal of silicone laden axillary lymph nodes and other silicone deposits in the breast, along with endocrine and immune support, anti-fungals around the time of surgery, treatment of co-infectons, and the proper detoxification is needed for women to regain their health from defective breast implants.