Dr. Bosshardt's Blog

Breast implant illness? You decide.

In 30 years of practice as a plastic surgeon, I have not had even half a dozen patients return to me with the type of non-specific, multi-system complaints often attributed to what is being called “breast implant illness” or BII. Is BII real? I don’t know and neither, it appears, does anyone else. Are there women out there with poorly understood, unexplained disorders who have breast implants? Of course. There are also millions of women with these same disorders who have never been in the same room with a breast implant. Among the many things you learn after a few years of practice is that, in the world of medicine, anyone can react badly to anything. It can be a drug, metal, latex, gluten, or any other of the countless things we are exposed to in some manner and, yes, I would include breast implants. Why should implants be any different? It is another thing to claim, however, as some are doing, that implants are inherently dangerous, toxic devices that will make everyone who has them sick eventually. This flies in the face of reason and decades of experience with implants.


I had a very interesting patient return to me recently. Bea (not her real name) came to me in 2008 seeking breast enhancement. Her breasts were sadly deflated and sagging after having children. The areolae were stretched out. I suggested a breast lift followed by placing implants at a second procedure and she went ahead. Her result was great and both of us were very pleased. Over the subsequent years, I saw her for a couple of minor procedures, with the last aournd 5 years ago. She remained completely pleased with her breasts.


Beware of online reviews


I love getting 5 star reviews on Google and similarly stratospheric reviews on vitals.com, realself.com, and healthgrades.com. What’s not to like? A lot, actually. You see, if you look carefully, interspersed in those 4 and 5 star reviews are several 1 star reviews. A 1 star review means you are one step above, say, a child abuser or serial killer. In other words, you are so bad that the reviewer went as low as the process would allow. I know this is so because in the comments are such pearls as “Horrible “Dr.””, “…..You disgust not only me but my husband says the same….Run, run” (not sure if she means me or my patients should run).



Breast augmentation- overview updated 12 March 2019


The decision to have a breast augmentation is a major one with life-long consequences. Please be sure you understand this operation well and have all of your questions answered before proceeding. Once surgery is done, it can never be totally undone.



Why I am not one of American's Top Breast Surgeons

The email began, “Congratulations are in order. Your practice has been selected to be featured. Americastopbreastsurgeons.com.” Wow! Really? At last, my incredible talents have been properly recognized. With fingers trembling in gratitude, I click to go to the site and claim my recognition. But wait…….what’s this? Even though it claims to be some type of award or distinction, I have to pay for a membership. Membership? Since when do you have to pay for receiving an honor? Membership is what you do when you join a club. “Membership” among America’s Top Breast Surgeons is $500 for one year, $1000 for life, and $2000 for “#1 Top Spot membership. If I want my practice listed, it is $995 for 6 months, $1895 for one year, $2895 for lifetime membership, and a mind-boggling $3895 for the #1 Top Spot. My mind reels with questions. Is this for real? How did I come to the attention of those who select ATBS’s? Who nominated me? How many doctors in my area received similar emails? Did my partner receive an invitation? Do I act quickly if I want #1 Top Spot ranking?



Doing implant surgery does not mean never having to say you are sorry

Some women claim their implants harmed them. The term 'breast implant illness' has been coined to describe a small group of women who feel that their implants made them sick. The number, and this is only a rough estimate, is small, perhaps 1-2% of women with implants, but with over 5 million women with implants in the U.S. alone, it is still a large number. Estimates are around 35,000 but that could be way off, either way. The problem is that anyone can react to anything put into their body and such reactions are often unpredictable both in how and when they present. I am very sorry for anyone who feels that her implants harmed her. I am trying very hard to learn more and to figure out how best to deal with this. Explantation (removal of implants) is always an option but it is not one without possible harm either. Women need to be fully informed and that has always been a primary principle in how I practice. For more, go to the link below. 




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Latest Blog Posts

Friday, February 22, 2019

Breast implant illness? You decide.

Tuesday, February 19, 2019

Beware of online reviews


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