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Peer-Reviewed ResearchCampbell C, et al. · Plastic and Reconstructive Surgery — Global Open · 2023

A National Claims Database Case-Matched Cohort Comparison of Breast Implant Illness Symptoms in Women with and Without Breast Implants

A large, controlled comparison using a national claims database, testing whether BII-type symptoms are diagnosed more often in women with implants than in matched women without them.

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What this source says

Comparing women with implants to matched women without, the study found a modest but statistically significant difference in symptom diagnoses — and, notably, that not every symptom tracked with implants.

Why it matters

It is one of the few CONTROLLED comparisons in this area, which makes it valuable for honest interpretation: it shows a real but modest difference rather than a dramatic one.

Key findings

  • 59.9% of women with implants had at least one listed symptom vs 50.1% of matched women without implants (p<0.001).
  • Diagnoses of fatigue, joint pain, anxiety, hair loss, and rash were significantly higher in the implant group.
  • Depression and “brain fog” diagnoses were more common in the non-implant group.
  • The authors state multi-center studies are needed to understand these associations.

Limitations

Claims-database diagnoses are not the same as verified clinical assessments, and the difference between groups is modest.

What this does not prove

A higher rate of symptom diagnoses is an association — not proof that implants cause the symptoms.

Source / citation

Campbell C, et al. · Plastic and Reconstructive Surgery — Global Open · 2023

https://pmc.ncbi.nlm.nih.gov/articles/PMC10566782/

DOI:
10.1097/01.GOX.0000992052.97287.20

Last reviewed against the original source: 2026-09-02. Summaries are written in plain language; the original source is authoritative.

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