BIA ALCL and Implants

breast-sugery-risks-breast-augmentation-

There have been some rare cases of Breast Implant Associated BIA-ALCL in recent news stories. The condition is still being investigated through scientific research. It is NOT breast cancer and appears rare in view of the number of reported cases.

BIA ALCL and Implants

Brief synopsis of what is currently recognised/evidence-based:

  • The condition does not at this time appear linked with ALL types of breast implants.
  • Scientific evidence and research on ALCL causes or risks rates linked with BIA are incomplete.
  • Early investigations suggest there MAY be implant sensitivity as well as ALCL that may potentially relate to handling of implants, particular surface types (textures), bacteria, genes and/or other factors but data has not yet been scientifically validated.
  • Many women get breast implants each year and the rate of ALCL is being estimated by groups such as ASPS.

The current medical recommendation for breast implant patients is to simply stay observant, have annual check ups AND notify your Surgeon immediately if you notice ANY changes to your breasts and/or augmentation results.

  • Patients of our practice are encouraged and welcomed to PHONE US on 0388491400 if they have any concerns or questions about their existing implants inserted by one of the Surgeons at the Clinic
  • AND/OR if they would like their implants removed or replaced
  • Ask for FRAN if you have any questions (03 8849 1400).

For a new patient surgery consultation for implant removal, replacement, size changes or other breast implant corrective surgery, phone the enquiries team on (03) 8849 1444.


Here are recommendations from the Australian Plastic Surgery Association (ASPS) for women with Breast Implants.

ASPS recommendation for women with Breast Implants who are worried about BIA-ALCL (2018)

November 2018 ASPS UPDATE:

What to remember:

  • The condition of ALCL appears rare and may be limited to certain types of implants – research continues
  • ALCL is NOT breast cancer but a different form; breast implants are NOT linked with breast cancer
  • BIA-ALCL appears to be effectively treated when diagnosed early.
  • So patients should remain diligent in monitoring their implant results AND attend all yearly or scheduled checkups with their original plastic surgeon.

Read the recommendations or Media Releases from the Australian Society of Plastic Surgeons and the Australian Society of Aesthetic Plastic Surgeons to view their PDF article outlining their recommendations for women who have had a breast augmentation.


Further reading

ASPS recommendation for women with Breast Implants who are worried about BIA-ALCL (2018 – updated and accessed online in 27 November 2018)

BIA-ALCL-ASPS-Media-Release-120828-BIA-ALCL (August 2017) Last accessed online on 17 November 2017.

ASPS/ASAPS Update (USA – American Society of Plastic Surgeons and American Society Aesthetic Plastic Surgeons – joint statement- https://www.surgery.org/downloads/blasts/BIA-ALCL/

References (Scientific Journals and links to publications)


 2017 May 5. doi: 10.1097/PRS.0000000000003654. [Epub ahead of print]

Breast implant associated Anaplastic Large Cell Lymphoma in Australia and New Zealand – high surface area textured implants are associated with increased risk.  Loch-Wilkinson A1Beath KKnight RJWWessels WLFMagnusson MPapadopoulos TConnell TLofts JLocke MHopper ICooter RVickery KJoshi PAPrince HMDeva AK.

Last accessed online on August 2017.


Recent ASPS or ASAPS Statements about ALCL

ASPS recommendation for women with Breast Implants who are worried about BIA-ALCL (2018 – updated and accessed online in 27 November 2018)

ASAPS May 2018 Update on Breast Implants and Cancer – Separating Facts from Fiction

TGA Therapeutic Goods Administration update and review on safety of breast implants

See other releases from American Society of Plastic Surgeons.

Breast augmentation or implant safety monitoring and recommendations

“This [risk range] is consistent with recent ASPS updates to membership, and the FDA update calls for NO changes in recommendations regarding breast implants.” Source: ASPS website on Plastic Surgery News and Research, accessed 26 March 2018.

Other references or information sources for this article include: Dr Montcrief

https://www.plasticsurgery.org/for-medical-professionals/health-policy/bia-alcl-physician-resources/fda-updates-website-information-on-bia-alcl

Dr Geoff Barnett - MBBS, FRACS (Plast)
Dr Geoffrey Barnett, FRACS (Plas) is a Melbourne based Specialist Plastic Surgeon who has over 35 years of expertise in Plastic & Reconstructive Surgeon for Cosmetic Surgery, Plastic Surgery and Body Contouring Surgery after Bariatric Surgery.Qualifications and Memberships: Specialist Plastic Surgeon (FRACS) Member - Fellowship of the Royal Australasian College of Surgeons in Plastic and Reconstructive Surgery [FRACS (Plast).The Royal Australasian College of Surgeons (RACS) is the only professional body recognised by the Australian Medical Council (AMC) and the Medical Council of New Zealand (MCNZ) to train Surgeons in Australia and New Zealand.Author BIO page: https://plasticsurgeons.com.au/dr-geoff-barnett/