Characteristics of Women Who Have Had Cosmetic Breast Implants That Could Be Associated with Increased Suicide Risk: A Systematic Review, Proposing a Suicide Prevention Model

Manoloudakis, Nikolaos; Labiris, Georgios; Karakitsou, Nefeli; Kim, Jong B.; Sheena, Yezen; Niakas, Dimitris

doi:10.5999/aps.2015.42.2.131

Cited by 20 publications

(24 citation statements)

References 88 publications

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“…Hence, SBI can be considered as trigger of FM [34]. Further, SBI surgery and depression can be stressful events for the patient and can be considered risk factors for suicide [33,34]. In this context, we observed one suicide in our study.…”

Section: Resultssupporting

confidence: 48%

“…FM shares some manifestations with ASIA criteria. Factors of atopy and hyperimmune state as well as low levels 5-Hydroxyindoleacetic acid (5-HIAA) a serotonin metabolite have related to ASIA and FM respectively [34]. Other factors have also been implicated, such as surgery for exchange of SBI.…”

Section: Resultsmentioning

confidence: 99%

“…Other factors have also been implicated, such as surgery for exchange of SBI. Hence, SBI can be considered as trigger of FM [34]. Further, SBI surgery and depression can be stressful events for the patient and can be considered risk factors for suicide [33,34].…”

Section: Resultsmentioning

confidence: 99%

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Autoimmune/Inflammatory Syndrome Induced by Silicone Breast Implant and Risk Factors Associated to Autoimmune Diseases

Vera‐Lastra¹,

Mp²,

G³

et al. 2019

Rheumatology

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Autoimmune Rheumatic Diseases (ARD) have been associated with Silicon Breast Implant (SBI) as part of the spectrum of Autoimmune/Inflammatory Syndrome Induced by Adjuvants (ASIA). Silicone is an adjuvant that may bleed and subsequently may be a chronic stimulus to the immune system. Objective: To determine the prevalence of autoimmune diseases (AID) and risk factors associated to patients with ASIA induced by SBI (ASIA-SBI). Patients and methods: This study was performed between 2012 and 2018, in a tertiary referral center, from a cohort of 210 patients with ASIA. We selected those patients with ASIA-SBI and clinical manifestations of any ARD. We investigated family history of AID, smoking, allergies and comorbidities. Statistical analysis: Chi square and Odds Ratio (OR). Results: There were 45 women with current age 50 (29-75) years, mean time of appearance of clinical manifestations after SBI was 8.8 ± 5.5 years. We found systemic sclerosis (SSc) 10 patients, rheumatoid arthritis (RA) 8, undifferentiated connective tissue syndrome (UCTDS) 6, fibromyalgia (FM) 5, systemic lupus erythematosus (SLE) 4, Sjogren syndrome (SS) 3, angioedema/urticaria 3, overlap syndrome 2, and one of each of the following: Takayasu arteritis, Still disease, tunnel carpal syndrome and antiphospholipid syndrome. We observed family history of ARD 42%, allergy history 37.5% and smoking 35.5%. In ASIA-SBI patients, family history and smoking had a significant association with SSc OR 6.0 (CI 1.2-29), p<0.02 and RA OR 7.1 (CI 1.3-37.2), p<0.022. Conclusions: In patients with ASIA-SBI, family history of AID and smoking were associated with SSc and RA. In addition to SBI, environmental and genetic factors should be taken into account for the development of AID.

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Section: Resultssupporting

confidence: 48%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Autoimmune/Inflammatory Syndrome Induced by Silicone Breast Implant and Risk Factors Associated to Autoimmune Diseases

Vera‐Lastra¹,

Mp²,

G³

et al. 2019

Rheumatology

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“…For example, literature indicates an increased risk of suicide among women with breast implants. Indeed, a systematic review of studies addressing cosmetic breast augmentation and suicide concludes a 2–3 times increased risk of suicide for these patients[ 25 ] and this tendency may be explained through the characteristics of the women who are interested in breast augmentation. [ 26 ] Similarly, there is a lot of evidence concerning patients who seek rhinoplasty suggesting that this is a group of patients with a great deal of psychopathology.…”

Section: Discussionmentioning

confidence: 99%

A systematic review of the factors predicting the interest in cosmetic plastic surgery

Mιlothridis

Pavlidis

Haidich

et al. 2016

Indian J Plast Surg

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Background:A systematic review of the literature was performed to clarify the psychosocial characteristics of patients who have an interest in cosmetic plastic surgery.Methods:Medical literature was reviewed by two independent researchers, and a third reviewer evaluated their results.Results:Twelve studies addressing the predictors of interest in cosmetic surgery were finally identified and analysed. Interest in cosmetic surgery was associated with epidemiological factors, their social networks, their psychological characteristics, such as body image, self-esteem and other personality traits and for specific psychopathology and found that these may either positively or negatively predict their motivation to seek and undergo a cosmetic procedure.Conclusions:The review examined the psychosocial characteristics associated with an interest in cosmetic surgery. Understanding cosmetic patients’ characteristics, motivation and expectation for surgery is an important aspect of their clinical care to identify those patients more likely to benefit most from the procedure.

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“…[28] Other studies have also found that patients with breast implants underwent breast surgery at a significantly younger age than did breast reduction patients, [29,30] with the typical breast augmentation patient profile being of a young woman aged 28 to 44 years. [31] These differences in age are explained by the fact that most clinical signs for undergoing mastopexy or breast reduction are associated with a series of problems that do not usually appear in younger women, such as sagging breasts due to pregnancy or breast-feeding, hypertrophy after birth or after menopause, and so forth.…”

Section: Discussionmentioning

confidence: 99%

Self-reported psychological development in cosmetic breast surgery patients

et al. 2016

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Cosmetic breast surgery is the only therapeutic alternative for psychological and physical complications associated with micromasty, breast ptosis, and macromasty. We analyzed the effects of 2 variables, time, and type of cosmetic breast surgery, on anxiety symptomatology and quality of life.Following a mixed 3 × 4 design, 3 groups of women with breast augmentation (n = 63), mastopexy (n = 42), and breast reduction (n = 30) were selected and evaluated using the State-Trait Anxiety Inventory and the 12-Item Short-Form Health Survey at 4 different times, the preoperative stage, and at 1, 6, and 12 months postoperative. Pearson's chi square, Welch's U, Games-Howell tests, mixed analysis of variance, and Cohen's d and w for effect size were calculated.Results relating to anxiety (state and trait) showed that the time factor was significant (P < 0.001) with differences between the preoperative stage (higher anxiety levels) and the 3 postoperative stages: at 1 month (P < 0.001), 6 months (P < 0.001), and 12 months (P < 0.001). In quality of life, type of surgery and time factors were found to have interactive effects on vitality (P = 0.044) and role-emotional (P = 0.023) dimensions. Compared to the other 2 groups, women who had undergone mastopexy felt worse (vitality) at 1 month since surgery than in the other stages, and better at 6 months since surgery (role-emotional). In the rest of the dimensions, and focusing on the most relevant effect sizes, the type of surgery made a difference in the physical functioning (P = 0.005) and role-physical (P = 0.020) dimensions, where women who had had breast reduction felt worse than those who had had augmentation. Time also resulted in differences in the physical functioning (P < 0.001), role-physical (P < 0.001), and bodily pain (P < 0.001) dimensions, where women felt worse at 1 month since surgery than during the rest of the stages, as well as in the social functioning dimension (P < 0.001) at 1 month, compared to 6 months postoperative.We conclude that in the long term, women who have cosmetic breast surgery recover their physical and psychological well-being.

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Characteristics of Women Who Have Had Cosmetic Breast Implants That Could Be Associated with Increased Suicide Risk: A Systematic Review, Proposing a Suicide Prevention Model

Cited by 20 publications

References 88 publications

Autoimmune/Inflammatory Syndrome Induced by Silicone Breast Implant and Risk Factors Associated to Autoimmune Diseases

Autoimmune/Inflammatory Syndrome Induced by Silicone Breast Implant and Risk Factors Associated to Autoimmune Diseases

A systematic review of the factors predicting the interest in cosmetic plastic surgery

Self-reported psychological development in cosmetic breast surgery patients

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