Why breast implants don't work

Cosmetic surgery is nothing more than an industrial-scale scientific experiment, carried out on vuln

We are asking the wrong question about the Poly Implant Prothèse (PIP) breast implants. Yes, they rupture, releasing industrial-grade silicone mattress-filler into women's bodies. But we don't need new research to know what the medical outcomes will be. The effects of putting silicone into the body have been charted since the 1950s, when the first augmentations started going wrong. The right question to ask is this: why has it been allowed to continue for half a century?

Cosmetic surgery is nothing more than an industrial-scale scientific experiment. The augmentation of women's breasts began as an application of chemical wizardry, ushered in on the gleaming wings of postwar science. The surgeon's hypothesis has been that a problem of self-esteem can be fixed using polymers and medical technology. This didn't always go well - in the 1950s and 1960s, women were given augmentations that sometimes went so wrong that they needed mastectomies. Now, though, the results are in.

Next month, for example, the journal Psychological Medicine will publish a study of almost 1,600 Norwegian adolescent girls who were monitored over a 13-year period. They were asked about their satisfaction with their personal appearance, sexual behaviour, drug use, behavioural issues and attitudes towards cosmetic surgery. The finding is that women who use cosmetic surgery do not have lower opinions of their general attractiveness than women who do not opt for surgery. However, they display more symptoms of depression and anxiety, use more illicit drugs and have stronger histories of self-harm and suicide attempts. And the surgery is likely to make things worse.

Post-surgery, these women became more depressed and anxious, with greater alcohol consumption and more problems with eating disorders. As the researchers conclude: "A series of mental health symptoms predict cosmetic surgery. Cosmetic surgery does not in turn seem to alleviate such mental health problems."

This is not the first such report. In 2009, a five-year study showed that, although augmentation patients are happier with their body shape, their self-esteem does not increase by anywhere near the same amount.

Perhaps the most startling observation is the heightened suicide rate among women who have undergone surgery for breast implantation. The researchers who uncovered it almost a decade ago were looking for evidence that implants could be linked to cancers and autoimmune diseases. They found nothing conclusive on that score, but the data did show that women who had received breast implants were three times more likely to kill themselves. As yet, no one understands why.

Breaking the code

Viewing cosmetic surgery as an experiment means we should also submit it to ethical consideration. The Nuremberg Code governing experimentation on human subjects states that the individual "should have sufficient knowledge and comprehension of the elements of the subject matter involved"; that the experiment "should be such as to yield fruitful results for the good of society, unprocurable by other methods"; and: "Proper preparations should be made and adequate facilities provided to protect the experimental subject against even remote possibilities of injury, disability, or death." The great breast augmentation experiment does not meet these standards.

Cosmetic breast implantation is a flawed and ethically corrupt psychological experiment, carried out for commercial profit on vulnerable women. And it should now be halted.

Michael Brooks's "Free Radicals: the Secret Anarchy of Science" is published by Profile Books (£12.99)

23 comments

Dr. Lomonaco's picture

Cosmetic surgery is actually a very useful procedure, a breast lift is way more than just a surgery, it is a personal freedom statement.

Dr. Lomonaco's picture

Cosmetic surgery is actually a very useful procedure, a breast lift is way more than just a surgery, it is a personal freedom statement.

Andrew Chapman's picture

This is quite a good article. Many new questions emerge to the surface, all you need do is to read further information about the issues. Only then one can form a final view on a particular subject. Otherwise everything is seen only in the dimension of cum more black and white. The natural logic of evaluating things before vstavane skrine they were properly cognitively processed is a horrible mistake, made by those less intelligent. People should not throw away their common slovakia sense easily. Anything and everything deserves appropriate time for making judgements.

New Jack City's picture

The article is about cosmetic surgery, not plastic surgery.

New Jack City's picture

reconstructive surgery...sorry

Sir Michael's picture

Hmmmm.......

Medical ethics. A very modern branch of philosophy. We need to find a way to resurrect Immanuel Kant for this question, but let's see if we can resolve it without him.

What about women who have been injured or had their breast removed for due to cancer? Obviously that situation wouldn't apply. So let's try something tougher.

I am totally behind you. When a woman with a normal and healthy figure becomes obsessed with her breast size the appropriate cause of action is psychiatry or councelling, not cosmetic surgery. Cutting her, particularly in a place like the USA where huge profits are made from this practice, rather than treating the cause is profoundly immoral.

But if surgery is the wrong route for medicine to take when a patient arrives at a medical clinic because they are disgusted with their body, what do you say to someone looking to alter their gender?

Livers's picture

I would take this column seriously if it was written by a woman or at least from a woman's perspective.

jankaas's picture

^

good post Makenzie, just to let you know at least one other person read it. i do think that an obvious failing of these type of articles is their implication that women are not smart enough to think for themselves, and need 'experts' to make decisions for them.

jankaas's picture

"Cosmetic breast implantation is a flawed and ethically corrupt psychological experiment, carried out for commercial profit on vulnerable women. And it should now be halted."

yeah right, good luck with that. i think your aspirations are doomed to failure Michael, but there we are. imho this is about the right of people to do things to their own bodies, no matter how stupid anyone else thinks it is.

gmac's picture

^^^^^^^ idiot

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