| Foreword | p. xi |
| Preface to the Third Edition | p. xiv |
| Acknowledgments | p. xviii |
| Introduction | p. 1 |
| The Story Unfolds | p. 5 |
| The History of Silicone | p. 6 |
| The FDA Enters the Scene | p. 7 |
| A Range of Reactions | p. 13 |
| What Went Wrong? | p. 16 |
| Where Are We Now? | p. 20 |
| The Benefits of Implants: Who Wants Them and Why? | p. 26 |
| Breast Implants after Cancer ...: Reconstruction | p. 27 |
| Breast Implants as Cosmetic Surgery: Augmentation | p. 31 |
| So Where Are We Now? | p. 38 |
| Types of Breast Implants and Surgical Procedures | p. 39 |
| Types of Implants | p. 39 |
| Implant Surgery | p. 43 |
| Related Techniques and Surgeries for Reconstruction | p. 46 |
| Tissue-Flap Surgeries | p. 50 |
| Which Reconstruction Technique Is Best? | p. 58 |
| Effects of Implants on Nearby Tissue (Local Complications) | p. 64 |
| Capsular Contracture | p. 67 |
| Rupture and Deflation | p. 71 |
| Gel Bleed and Shedding | p. 78 |
| Unsatisfactory Appearance | p. 78 |
| Infection | p. 79 |
| Pain and Other Changes in Breast Sensation | p. 80 |
| Calcium Deposits | p. 81 |
| Interference with Mammography and Cancer Detection | p. 82 |
| Other Local Complications | p. 87 |
| Effects of Implants on the Whole Body (Systemic Disease) | p. 89 |
| Interactions Between Silicone and the Immune System | p. 90 |
| A Spectrum of Symptoms and Opinions | p. 96 |
| What Do the Studies Say? | p. 98 |
| The Role of Infection | p. 107 |
| A Continuum of Symptoms? | p. 109 |
| Immune or Autoimmune? | p. 111 |
| Are You Feeling Lucky? | p. 113 |
| Cancer | p. 114 |
| Effects During Pregnancy and Breast-Feeding | p. 117 |
| What Should You Do if You Have an Implant? | p. 120 |
| General Steps | p. 121 |
| Guidelines for Self-Monitoring | p. 123 |
| Guidelines for Professional Monitoring | p. 126 |
| Capsulotomy | p. 134 |
| Should You Remove or Replace Your Implants? | p. 135 |
| Capsulectomy | p. 143 |
| Risks of Implant Removal and Capsulectomy | p. 146 |
| Making the Explantation Decision | p. 147 |
| Making the Decision about Replacement, Tissue Transfer, Uplift, or Further Diagnosis | p. 152 |
| Systemic Treatments | p. 157 |
| Alternatives to Implants | p. 161 |
| Replacing a Breast after Mastectomy | p. 161 |
| Alternatives to Augmentation | p. 169 |
| Should You Have Implants? | p. 173 |
| Steps Toward Making Your Decision | p. 174 |
| Reducing Risks | p. 179 |
| Timing for Reconstruction | p. 187 |
| Timing for Augmentation | p. 190 |
| Who Pays? | p. 191 |
| The Future of Implants: Where Do We Go from Here? | p. 192 |
| A Better Silicone--or Something Else? | p. 192 |
| Silicone Tests | p. 195 |
| Improving the FDA's Role and Responsibility | p. 197 |
| Corporate Trust and Accountability | p. 200 |
| Our Implants, Ourselves | p. 201 |
| Five Important Issues to Explore When Considering Implantation--or Explantation | p. 203 |
| Breast-Implant Facts and Figures | p. 207 |
| References | p. 208 |
| Bibliography | p. 217 |
| Books | p. 217 |
| Miscellaneous | p. 218 |
| Resources | p. 220 |
| Food and Drug Administration | p. 220 |
| Other Federal-Government Resources | p. 220 |
| Women's Health | p. 221 |
| Plastic, Cosmetic, and Reconstructive Surgeons | p. 222 |
| Breast Cancer, and Cancer Generally | p. 222 |
| Breast Self-Exam Reminder | p. 224 |
| Silicone-Implant Organizations | p. 224 |
| Disease-Specific Organizations | p. 226 |
| Children's Issues | p. 227 |
| Treatment Clinics | p. 227 |
| Manufacturers of Implants | p. 227 |
| Manufacturers of Prostheses | p. 228 |
| Index | p. 229 |
| Table of Contents provided by Syndetics. All Rights Reserved. |
