June 11, 2021 | By Tampa Palms Plastic Surgery

What is the Risk of Textured Implants and Large Cell Lymphoma?


Breast implant-associated anaplastic large cell lymphoma, or BIA-ALCL, is a rare form of cancer that can develop around breast implants and most frequently in patients who have implants with a textured surface.  Given that this is a rare complication of implants, patients have a very low risk of developing it. Nonetheless, it’s crucial to understand the risk of BIA-ALCL if you currently have textured implants. 

What is Large Cell Lymphoma?

Contrary to what you might first assume, BIA-ALCL isn’t a type of breast cancer. It’s a rare form of cancer that impacts the immune system. With BIA-ALCL, the lymphoma develops in the fibrous capsule, or scar tissue, surrounding the breast implant. If cancer progresses, the lymphoma may spread and reach the lymph nodes close to the breast. Surgical intervention is essential for the treatment of BIA-ALCL.  

breast removal Large Cell Lymphoma

Symptoms of BIA-ALCL may include:

  • Swelling of the breast
  • Breast asymmetry
  • Breast pain
  • Hardening of the breast
  • Skin rash
  • Significant fluid collection
  • Lump in the armpit or breast 

The Risk of Large Cell Lymphoma with Textures Implants

According to the American Society of Plastic Surgeons, the current lifetime risk of developing BIA-ALCL for women with textured breast implants is between 1:2,207 and 1:86,029. Additionally, fewer than 10 patients per year are diagnosed with BIA-ALCL. It’s a very rare condition that’s much more likely to develop in patients with textured breast implants, as opposed to smooth implants. 

If you’re considering breast augmentation or revision surgery, speak with Dr. Mosiello about your risk of developing BIA-ALCL. 

To schedule a consultation with Dr. Mosiello, contact Tampa Palms Plastic Surgery today.


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I came to Dr. Mosiello’s practice as a reluctant patient who had just been given the diagnosis of breast cancer. I have been in several doctors’ office’s during my diagnosis and treatment and Dr. Mosiello’s office is my favorite. He is a very kind, competent surgeon who patiently answered questions and explained things fully. I was given clear post op directions and checked on by the nurse before my first post op visit and someone was always available if I had a question or concern. His staff is amazing! Melissa, Paula, Mary and Carol are all very personable and caring. This is also an office where I did not wait long periods of time to be seen. Things run smoothly and timely. I would highly recommend Dr. Mosiello to anyone in need of a plastic surgeon.

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