Author Semple, John L. M.D., M.Sc.
Institution Toronto, Ontario, Canada
From the Division of Plastic Surgery, Women’s College Hospital, and the Department of Surgery, University of Toronto.
Title Breast-Feeding and Silicone Implants.
Source Plastic & Reconstructive Surgery. Silicone Breast Implants: Outcomes and Safety.
Background: Despite the overwhelming advantages of breast-feeding, there is a persistent concern that maternal exposure to chemical contaminants may result in contamination of breast milk and have an effect on the child’s growth and development. A parallel concern regarding lactation in women with silicone implants over the past years has led to confusion and anxiety relating to the potential risks to the child.
Methods: The author reviewed the facts and issues as he knows them, including biomaterials, lactation toxicology, and a previous study where no difference was found in silicon (a proxy measurement of silicone) in women breast-feeding with silicone implants and those without.
Results: In the author’s previous study, he compared women with implants to women without implants as controls and showed that mean silicon levels were not significantly different in breast milk (55.45 +/- 35 and 51.05 +/- 31 ng/ml, respectively) or in blood (79.29 +/- 87 and 103.76 +/- 112 ng/ml, respectively). However, silicon levels in alternative methods of infant nutrition were much higher. The mean silicon level measured in store-bought cow’s milk was 708.94 ng/ml, whereas that for 26 brands of commercially available infant formula was 4402.5 ng/ml.
Conclusions: In this review, the author looked only at silicon/silicone and did not address other potential contaminants that may be associated with silicone gel or the elastomer shell. This report may provide plastic surgeons and other healthcare workers with information regarding silicon/silicone for discussion with women with gel implants who are contemplating breast-feeding
他們找有隆乳的和沒有隆乳的人奶檢驗矽含量，結果並沒有什麼差別 (55.45 vs. 51.05 ng/ml)。而她們血液內含矽量也沒有差別(79.29 vs. 103.76ng/ml)。所以結論是矽膠隆乳的女性可以安全放心地哺乳。 文章中另有一個發現：牛奶的矽含量遠比人奶高多了 (708.94 ng/ml)，而市售奶粉的矽含量更高，達4402.5 ng/ml。看來還是喝人奶比較安全些。