What is the cause of Breast Implant Illness (BII)?

Updated: Sep 22, 2020

Written by Board Certified Plastic Surgeon Nima Naghshineh, MD, FACS on July 8th, 2020.

There are several individual theories about what causes BII, but most hinge on the idea that there is some degree of interaction between the implant, a pro-inflammatory presence (typically bacteria or fungus), and the body’s exaggerated response to all of this. It has been shown that a large percentage of capsules (>40%) removed at time of explantation had bacterial colonization1.

There are different kinds of inflammatory response your body can create, as outlined in this drawing from a medical journal. Inflammation can lead to scarring which is a typical response after surgery but when exaggerated can lead to hardening and thickening and contraction of that scar or capsule your body forms around the implant. This then leads to a well-known condition called capsular contracture which can cause breast shape deformity and pain. Another form of inflammation many are aware of is an allergic reaction. Allergies form through inappropriate or undesired immune system response to an antigen (something foreign like pollen or metals). Additional forms of immune system malfunction can lead to one’s own immune system attacking the body. This is a general simplified idea of how autoimmune diseases occur. And when normal immune cells mutate or grow out of control that leads to cancers like lymphoma.

5 views0 comments


  • Instagram

All content found on this website, including: text, images, movies, audio, or other formats were created for informational purposes only. The content of this website is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911, immediately. This website or Dr. Nima Naghshineh does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned. 

© 2023 by Implants Removed. Proudly created by Blond Goose Media.