• Episode 68: Navigating Breast Implant Surgery Risks with Dr. Thomas Chung

  • May 30 2024
  • Duración: 33 m
  • Podcast

Episode 68: Navigating Breast Implant Surgery Risks with Dr. Thomas Chung Por arte de portada

Episode 68: Navigating Breast Implant Surgery Risks with Dr. Thomas Chung

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  • Breast implants are said to be a transformative solution for individuals seeking aesthetic enhancement or breast reconstruction. However, beneath their promise of confidence and beauty lie potential risks that are often overlooked. Breast Implant Illness (BII) underscores the importance of thorough patient education and informed consent, highlighting the complexities and implications associated with implants. That is why there is a need for us to raise more awareness about the realities of breast implant surgery, ensuring that patients are fully informed about the risks and potential consequences. I'm thrilled to introduce our guest for today's episode – Dr. Thomas Chung. We share a similar background in terms of experience and training, which initially intrigued me since he has a clear and insightful understanding of breast implant illness, and we'll delve into that throughout this episode. Plastic surgery career, including microsurgery and breast reconstruction What struck me about Dr. Chung is his extensive experience in microsurgery, a field in which we've both worked. Dr. Chung's journey began with his training in the Navy, where he completed his internship and general surgery residency at Walter Reed, then part of the National Naval Medical Center consortium in DC. During his residency, he managed numerous casualties from conflicts like Fallujah, serving as chief of the trauma service with a daily census of 30 to 40 injured veterans. After finishing his general surgery training, he pursued a fellowship at Johns Hopkins, launching his plastic surgery career before returning to Walter Reed to handle more trauma cases. His work involved extensive microsurgery, such as reconstructing an entire abdominal wall for a survivor of a suicide bombing and performing numerous extremity-free flaps and breast reconstructions using deep inferior epigastric perforator (DIEP) flaps. Over the first seven to eight years, Dr. Chung climbed the Navy's ranks, taking on leadership roles like Chief of Surgery, Chair of the Medical Executive Committee, and ultimately Chief Medical Officer for the San Diego region. Dr. Chung remains passionate about plastic and aesthetic surgery despite his executive responsibilities. Notably, he performs many explant surgeries for patients experiencing issues after long-term breast implant use. Immunosuppression in organ transplants and chronic inflammation In my previous episodes, I've extensively discussed breast implant illness and Dr. Chung agrees that implants may cause more than just localized pain or discomfort. He believes there's something inherently toxic about implants that science can explain and this understanding aligns with groundbreaking surgical advancements by the Nobel Prize winner, Dr. Joseph Murray. Dr. Murray's work on organ transplants demonstrates the need for immunosuppression to prevent rejection. In transplants, immunosuppression is crucial to avoid rejection, but this concept can also apply to implants. Patients often react negatively to treatments like steroids or methotrexate, fearing the medications rather than understanding their role in managing symptoms. We see chronic inflammation in patients with implants, similar to organ rejection. In both scenarios, if the initial post-surgery period goes well, complications are less likely. However, issues during this time can lead to significant problems. For cancer patients undergoing reconstruction, immunosuppression can exacerbate complications, demonstrating the delicate balance required to manage immune responses. Transplant rejection and the use of splint analogy to explain the concept Using analogies from organ transplants helps patients understand that their bodies might be "rejecting" implants, causing chronic inflammation. This perspective can help them grasp the need for proper management and treatment strategies, even if those include higher doses of immunosuppressants like prednisone to manage their symptoms effectively. When it comes to resolving issues with breast implants, focusing on the concept of explants and the importance of addressing capsules surrounding the implants is vital. We use the splinter analogy to explain the body's reaction to foreign objects. Just as a splinter in your finger causes pain and inflammation until it's removed, so does the body react to implants, leading to discomfort and potential toxicity. Removing the splinter provides immediate relief, compared to the relief patients might experience after explant surgery. Dr. Chung appreciates the simplicity of this analogy, which helps patients understand the body's rejection response. He relates it to his experience on transplant rotations, where managing immune responses to transplanted organs was crucial. He emphasizes the importance of detailed procedures in removing implants, akin to meticulous methods used in cancer surgeries to reduce recurrence risks. Breast implant illness, implant removal, and fat transfers as an ...
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