Venezuela to remove breast implants for free

CARACAS, Venezuela— Venezuela is offering free surgeries for women to remove faulty French-made breast implants, the country’s top health official said.

WORLDWIDE PANIC. In this Jan. 22, 2007 file photo, a plastic surgeon performs breast implant surgery in Caracas, Venezuela. Venezuela is offering free surgeries for women to remove faulty French-made breast implants, the country's top health official said on Tuesday Dec. 27, 2011. France's health system has recommended that women with the PIP implants get them replaced, and has agreed to pay for surgeries. In Brazil and Argentina, however, health officials just recommend checkups. AP FILE PHOTO

Health Minister Eugenia Sader said women with implants made by the now-defunct French company Poly Implant Prothese may go to hospitals that carry out plastic surgery to have the implants removed, the state-run Venezuelan News Agency reported.

Sader said Tuesday that the free procedure will simply be to remove the implants and will not include replacing them.

“Those patients are running a risk,” Sader said. However, she said, women need not seek emergency care and instead may visit hospitals at their convenience.

France’s health system has recommended that women with the PIP implants get them replaced, and has agreed to pay for surgeries. In Brazil and Argentina, however, health officials just recommend checkups.

The president of Brazil’s Plastic Surgeons Association, Jose Horacio Aboudib, said “I’d remove them from any patient that wants to, but I don’t see the need for everyone to go into surgery.”

“In France, the government pays for the surgery. Here it is not considered a public health risk, and so the patient would have to pay for it,” Aboudib said, noting that his association will create a breast implant registry in January, so that doctors can register information on surgeries and the implant material used in a database aimed at improving patient safety and care.

On Tuesday, a group of 50 women in Argentina threatened to sue their plastic surgeons if they don’t get free replacements of the faulty French breast implants.

The group is led by attorney Virginia Luna, who herself has the “PIP” silicone gel packs implanted in her breasts. She said five of her clients have obtained out-of-court agreements to provide free replacements, and if the rest don’t get them as well, her group will sue.

Argentine clinics say they’ll replace leaky implants, but the symptoms aren’t always detectable, and Luna says any woman with the faulty implants can suffer psychological damage.

It’s unclear how many women have the PIP implants in Venezuela, where breast enlargement surgery is popular and doctors say the French implants used to be widely used.

An estimated 35,000 to 40,000 women in the country have breast enlargement surgery each year, said Dr. Marisol Graterol, president of the Venezuelan Society of Plastic and Reconstructive Surgery.

Venezuelan President Hugo Chavez has criticized the widespread popularity of breast surgery, saying women shouldn’t be sold on an image that big bosoms are attractive.

The plastic surgery society recommended last week that women with PIP breast implants see a doctor to have them checked. Graterol said doctors should decide depending on each patient’s situation whether or not the implants need to be removed.

Sales of PIP implants were halted in Venezuela in April 2010, Graterol said.

Plastic surgeon Dr. Henry Saud said he removed ruptured PIP implants from more than 10 patients during the past year.

In some cases, his patients hadn’t noticed anything wrong and the leaking implants were detected during imaging exams, Saud said. In other cases, “they felt discomfort and had swelling.”

“It used to be one of the most-used brands,” Saud said.

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