From Publishers Weekly
For the past 30 years, more than a million American women have received silicone gel-filled breast implants. Some physicians have placed these devices in their patients without providing adequate information on the risks posed by the procedure, and without demanding information from manufacturers. Of women receiving implants, 40 percent have experienced serious complications: silicone leakage into the body; capsular contacture (development of hardened scar tissues around the implant); immune system disorders believed to be linked to the implants. Guthrie, a plastic surgeon specializing in breast surgery, explains that he has opposed the use of silicone implants since the late 1970s, long before the current controversy. Under the current FDA rule, women who want implants after reconstructive surgery may get them if they are willing to be part of a long-term study to check for health problems. Those who seek implants to enlarge their breasts for cosmetic reasons are much more restricted; they may not do so unless they are chosen to join in a similar study examining the long-term effects of the silicone devices. Guthrie believes that saline implants offer a safe alternative. Available for 20 years, they have only been used in 10%-15% of breast reconstruction or augmentation procedures. The author's advocacy of saline implants is unwavering, but still one questions the wisdom of putting any foreign objects in the body, especially in cases when it is for vanity and vanity alone.
Copyright 1993 Reed Business Information, Inc.
From Library Journal
The use of silicone implants is an area clouded by emotion and conflicting information, even within the medical community. The introductory blurb for Guthrie's book suggests it might help to clear up some of this confusion. Sadly, it falls short of that goal. Though Guthrie is a noted expert in the field, his complete lack of documentation weakens his credibility. In an area this controversial, where documentation is essential, he repeatedly mentions studies or reports but fails to give citations. In addition, while Guthrie does cover some of the issues surrounding silicone implants, he does so only briefly. For the most part, the book comes off as an advertisement for saline implants, though it could have been an excellent resource on such implants with a little documentation. An optional purchase for women's health collections. See also Frank Vasey and Josh Feldstein's The Silicone Breast Implant Controversy ( LJ 11/15/93) and Nancy Bruning's Breast Implants ( LJ 9/15/92).--Ed.
- KellyJo Houtz Griffin, Harrison Memorial Hosp., Bremerton, Wash.Copyright 1993 Reed Business Information, Inc.