ASIA Syndrome Update

In this post we present an update on ASIA syndrome, previously exposed in our blog. ASIA syndrome (Autoimmune/Adjuvant Induced Immune Syndrome) continues to be a topic of debate, especially in relation to its possible link to breast implants. A recent article published in Cirugía Plástica Ibero-Latinoamericana (Vol. 50, No. 3, 2024) by Dr. Mosquera and colleagues, reviews the scientific evidence on the so-called breast implant-associated disease (BIDS), an entity that some patients relate to systemic symptoms after breast prosthesis placement.

Current evidence and controversies about ASIA syndrome.

Despite the increase in the number of patients who associate these symptoms with their implants and request their explantation, a direct association between breast implants and the appearance of this disease has not been proven. The article points out that:

  • Some studies show that breast explanation can improve symptoms in certain patients.
  • However, it is not clear whether this improvement is due exclusively to the removal of the implants or to other factors, such as psychological effects or changes in the immune system.

In addition, the current scientific literature faces important limitations:

  • Lack of uniformity in the studies: There is no consensus on the criteria for patient selection or analysis methods, making it difficult to obtain solid conclusions.
  • Need for high-quality evidence: more homogeneous studies that control relevant variables and evaluate both surgical and non-surgical alternatives are required. insufficient long-term follow-up:
  • Prolonged monitoring of patients is essential to determine the true effectiveness of explantation, beyond the so-called “honeymoon” effect, which may explain a transient improvement of symptoms.

The role of social networking and decision making

Another highlight is the influence of social networks, which have played a crucial role in the increase in requests for explantation. This phenomenon highlights the importance of educating patients about current limitations and evidence before making surgical decisions.

Towards a comprehensive treatment

Given the uncertain outlook, experts recommend comprehensive treatment options, including surgical and non-surgical alternatives, and personalized approaches to effectively manage symptoms.

Conclusion

Although breast implant-associated disease and its relationship with ASIA syndrome are topics under constant study, conclusive evidence is still lacking. Further research, with rigorous methodologies and increased follow-up, is needed to provide definitive answers to both patients and surgeons.