Department of Health debates over Gel Implants
October 22, 2007 - Chandana Banerjee

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A committee of specialists assembled by the Department of Health (DOH) of Taiwan decided not to approve cohesive gel silicon breast implants until the manufacturers can prove that the implants, which sometimes rupture, are safe.
Cosmetic surgeons have been calling for approval of the new class of silicon implants, which they say are safer than liquid silicon implants.
According to figures provided by Mentor Corp to the DOH, 0.5 to 7.7 percent of women who have received "Memory Gel" breast implants have suffered ruptures and 8.1 to 18.9 percent have suffered capsular contracture.
Capsular contracture is a common complication of breast augmentation surgery in which the body reacts to the implant by forming a tight tissue lining encapsulating it, which is painful and causes the breast to become hard and abnormal in shape.
In addition, 15.4 to 19.1 percent of women had to undergo a secondary surgical procedure after their breast augmentation with the product. The company's figures derive from an in-house study done between 2001 and 2004.
More information is needed from the manufacturers, including information from 2004 to this year. There are no immediate plans to convene another committee to meet on the matter.
Prior to the committee hearing, Taiwan Society of Aesthetic Plastic Surgery director Lin Chin-yun told the media that since cohesive gel silicon implants are not liquid but a cohesive mass, there is less danger associated with their use.


