Augmentation surgeries, which have been the number one cosmetic surgical procedure in the U.S. since 2006, dropped 14.9 percent from 2018 to 2019, according to annual statistics from The Aesthetic Society. Explantation surgeries, on the other hand, increased 34.4 percent in the same year.

These stats are likely the result of growing concern about the effects implants can have on women’s health—but the condition is still not officially recognized by the medical community or the U.S. Food and Drug Administration (FDA). In fact, most information about breast implant illness (or BII) is being spread via social media groups.

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