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He stands against his peers, the FDA, and the doctor organizations, who all claim breast implants are harmless.

The video is on Rumble HERE. Do not miss the YouTube links below if you are studying this subject.

Kahn says the risks of breast augmentation—even with saline implants—far outweigh the benefits. He adds, “In view of the diseases they cause and worsen, they should all be banned.” He has seen recovery from breast implant illness many times after his careful removal technique. 

When I performed this surgery, I sang the party line like a parrot: “Breast implants are biologically inert.” I did thousands of them. I also thought the symptoms were all in my patient’s heads, but I was wrong. Here are just a few of the issues:

  • Joint pain

  • Muscle pain

  • Muscle weakness

  • Anxiety and/or depression

  • “Brain fog”

  • Fatigue

  • Memory loss

  • Trouble concentrating

  • Autoimmune condition symptoms or diagnosis

  • Chronic pain

  • Dry eyes or poor vision

  • Hair loss

  • Skin problems such as rashes

    Download Dr. Kahn’s complete list here:

Bii Signs Symptoms Checklist
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Most of the time, all tests are negative. But we should be listening to patients instead of relying on the laboratory. The FDA, most breast surgeons, and the primary care doctors ignore their complaints.

Dr. Khan says that the implant and the entire scar around the implant must be removed in one piece en bloc to relieve breast implant illness symptoms and ensure proper healing. HERE is another video. This requires superior surgical skills and usually takes four hours or more. It is a young man’s game and requires an athlete’s endurance. Although I did a few lengthy procedures such as facelifts, by the end of my career I could barely tolerate them.

Khan’s entire practice is breast implant removal. He says his technique is “100/100/zero. This means that all of the time, all of the capsule is removed, and none of the scar is left. Proof that his surgical technique is outstanding is that he has not needed a surgical drain for years, and two-thirds of his patients need no pain medications after the surgery. Watch Dr. Khan explain it in this Facebook video. He has done over 1000 of these arduous surgeries.

Explanatory notes

  • There are toxic metals in silicone gel; see the references below. My recent Substack archives have my interviews with mercury and aluminum experts much more. Metals create many diseases. 

  • The authorities say the bacteria cultured from breast implant scars are benign: “The common isolated organisms from breast implant infection are S. aureus and coagulase-negative staphylococci. Staphylococcus epidermidis is the most frequent coagulase-negative Staphylococcus species.” Dr. Kahn says these are part of the problem, however. He sometimes cultures molds or other fungus from the capsular scars and finds nasty white pus around some of the implants; see a video HERE.

  • Ethibond or other permanent suture is sometimes used for breast surgery to pull up the scar tissue around the implant. Dr. Khan frequently discovers and painstakingly removes removes it.

  • Taking the capsule from the chest wall on the back side of the implant is a surgical magic trick that I never mastered. Dr. Khan shows photos and explains how he does this in this video. Do not try it at home.

  • Khan typically sees the nonspecific symptoms of breast implant illness—chronic fatigue and all the rest—vanish following his total breast implant removal process. Weight loss is common. He has also had patients who report that their inflammatory diseases, including Crohn’s and rheumatoid arthritis, improve after the removal. He makes no claims he is curing systemic disease, but I believe that just like with root canal removal, he sometimes is. 

  • Strangely, Dr. K has had little pushback from his colleagues and professional organizations. They know they are doing problematic surgery and understand they need people like him to clean up after them. Few plastic surgeons are willing to do this work because it is physically demanding and pays poorly for all the hours in the operating room. 

  • Even when a silicone gel implant has already ruptured, he can usually remove the entire scar around the implant and keep the gel contained as he takes it out. Watch his Facebook videos about this. 

  • People fly to Michigan from all over the world to see Dr. Khan. You need a surgical “clearance” letter, typically from an internist. Expect to spend about four or five days there to allow the doctor to evaluate you before and after surgery. The work requires four or more hours under twilight sleep sedation, and you will not remember anything. This technique minimizes your chances of nausea, blood clots, and other problems. 

  • Khan supplies a special compression garment for post-operative care and recommends careful massage. He says it takes a year for the tissues to completely settle and heal.

  • Breast implants occasionally cause squamous cell and other forms of cancer such as lymphoma—another good reason to remove them.

  • I have “polymerized” silicone implants in my cheeks that look like hard plastic. Kahn says these pose few risks; they do not get yellow or leak silicone gel like breast implants. I am considering getting mine taken out anyway because I was diagnosed with Parkinson’s and am looking closely at all my toxic exposures.

  • Every breast implant manufacturer recommends removal and replacement of their products ten years after the original surgery. I always thought this was a scam to sell more of them, but I am now convinced they self-destruct and create problems if they are left in the body too long.

Sample testimonials and explanations from patients

Zeamora Pablo

I just explanted with Dr Khan a little over two weeks ago. Dr Khan is everything they say he is; what all medical professionals should be. You will get the best care and peace of mind that everything was removed so you can begin to heal. A few months ago I thought I was dying. I, too, had all but 5 symptoms. The day after surgery I felt life return to me. I had more energy than I’ve had in years. I was up and walking. I could breathe deep breaths without pain. The gritty sandpaper eyes no more. It was simply amazing! Every day I get better and better. You will be here too. I traveled from CA to MI. The best decision I could have made.

Felicia Ncq

2 Weeks Post-Op UPDATE!

Things I noticed in these 2 weeks:

My INFLAMMATION is almost gone all over my body, In my upper body, it is down by probably 90%, and I can see how much my body is changing every few days more and more for the better!

I’ve lost 5 lbs already in these two weeks! My BRAIN fog is gone! My ENERGY level is normal and without any crashes during the day! Amazing, considering I’ve had so many energy crashes throughout the day in the last two years.

BACK PAIN—gone!! Not one HEADACHE! I’ve had those at least once a week in the last three years. CRAVINGS for sugar or bad fast food carbs ZERO! Unbelievable!!

Another fantastic change: I feel in tune with my body after my surgery, and I think that it’s working with me for the first time in a long time and speaking to me in ways I haven’t experienced before. I crave only the healthiest foods, and I stay away from those I do not need.

I love my body without the toxic bags inside! I feel free and happy they are out. I feel thankful for my life and the brilliant man who did my explant. I haven’t felt any pain—just those first few days and that’s it!

No stabbing pains, no weird tingling sensations or any other symptoms like some women described and experienced. My incisions are looking better and better with each passing day.

I feel like I made the bra and binder part of me in the sense of not paying attention to it and embracing the “compression “as “normal” and temporary. Training our minds that way will help us get through these six to eight weeks with a more positive attitude. Instead of complaining every day about how uncomfortable it is, ignore it! It’s not that bad!

Learn about Dr. Khan and BII 

His main website is executiveplasticsurgeon.com.

His Facebook links are HEREHERE, and HERE. These are the best introductions. 

TwitterTikTokInstagram, and LinkedIn links.

Video 1 Video 2

A few references 

https://utswmed.org/medblog/breast-implant-illness/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9400612/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7170128/

MD Anderson study of breast implant harms.

Breastimplantslykissamaharaj2006a
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Breastimplantsaudinomaharaj2011
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Breastimplantsmaharaj2008
612KB ∙ PDF file
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Breastimplantsmaharaj2007
1.14MB ∙ PDF file
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Silicone Breast Implants
224KB ∙ PDF file
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I apologize to my breast implant patients. 

After what I have read and considered, I have concluded Dr. Khan is right and I am wrong. In my defense, my peers and the professional organizations all supported breast implant surgery, and I could only do what I understood then. I still believe that the through-the-umbilicus saline implants I used were the safest ones ever offered. These have the advantage of rarely producing a “hematoma,” which is bleeding around the implant. This decreases the chances of capsule (scar) formation.

My followers have watched me change my mind many times over the past four years. It has been agonizing for me.

Depending on who is counting, one to ten percent of all US women have breast implants. Forward this article to your friends with them and ask if you can sign them up for Surviving Healthcare.

Parting shots

  1. Please review Dr. Gammal’s important dental book. Reading my summary HERE is enough background to write it. As of now, there is only one review—mine.

  2. Critically important: how to back up all your Substack posts at once:

Substack Archive Export Instructions
529KB ∙ PDF file
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Thanks for this, Fred! Here is a link to your recent post, “Constitution on Life Support.”

42 Comments

  • Avatar Anita says:

    What about breast augmentation using fat transfer?

    • Avatar Robert Yoho MD (ret) says:

      Less predictable and works best if you have some breasts to begin with. Safe as far as I know except the usual surgical risks.

  • Avatar A Midwestern Doctor says:

    Breast implant illnesses cause so many problems.
    It still amazes me what else they add into the implants.

  • Avatar Kelly Sutton says:

    Thank you– excellent! What about silicone lens implants for cataract surgery? They are left in indefinitely.

  • Avatar Robert Yoho MD (ret) says:

    metals even. Thanks for reading.

  • Avatar Rosalind McGill says:

    Thank you for your honesty and ability to change your mind.

  • Avatar K.E.C. says:

    What a great interview. I was a new attorney at a medical defense firm and worked on the breast implant class action lawsuit. I remember the plaintiffs being dismissed as kooks, but it made sense to me that a foreign object – especially one prone to rupture with a fluid leaking into your body – would cause problems. Three years in a medical defense firm led to my caution when it comes to the allopathic medical system.

  • Avatar erin says:

    Doc, that was hideous reading. And how awful for you to discover this after a lifetime of toeing the party line! Maybe get a punching bag? Don’t get PTSD out of all these discoveries…

    Hug.

  • Avatar Becka Hardman says:

    It is very admirable that you can say that you were wrong. I do wish more of the healthcare professionals would do the same. Thank you for all your hard work, excellent post as always.

  • Avatar Frederick R Smith says:

    Great essay as usual and thanks for the reminder to back up my substack! And thanks for the link to my page.

  • Avatar JW Writes says:

    I had BII and it would have killed me. My husband thought I was dying even before we knew why. I went to Mexico for explant surgery, to an excellent US and Mx Board Certified surgeon, and within hours of waking looked drastically different. The next day, at 4pm, I realized I had been walking barefoot (on hard tiles) all day without a thought, whereas I hadnu2019t been able to walk 2 steps on carpet for over 3 years without terrible pain. It was a miracle for me.

    My mom had breast cancer and reconstructive surgery in her 30s and is 81 now. She recently had her implants replaced (Iu2019ve already told her about BII but she canu2019t face it) and one is already encapsulated again. Itu2019s infuriating that this is allowed to happen to so many women.

  • Avatar ABIGAIL REPORTS says:

    A cousin had a double Mastectomy in her 30s, the cancer gene passes through to daughters from the male line, and the 2 aunts who married brothers carry it. A friend tests positive with every mammogram. Doctors do not tell patients they leak or need changing every 10 years.

  • Avatar ABIGAIL REPORTS says:

    Many of us have screws, plates, knee, and shoulder replacements too, how do they affect people? Hub has 1 shoulder ball for OA control. Both partial knees. Screws were used to reattach the torn ligament in my thumb, the trigger lock was released at the same time. It is basically not fine motor skill usable and the pain continues. Rehab took years not the 13 weeks allowed.

  • Avatar Crixcyon says:

    You would think that people wanting to have this type of nonsensical surgery would do great amounts of research beforehand and weigh the risks verses the benefits (there literally are none). Their vanity blinds them. What a freaking racket as is all of the modern stone age medical system.

  • Avatar Being a Nancy says:

    I’m so glad you posted this. I have been wanting to ask you about implants. I got them for my 50th birthday. Seven years and I’m doing ok I think but I look forward to removing them too.
    I did spend 4 years total breastfeeding the kids and I have less body fat than most women because I love green food so it won’t look good after for sure.
    I don’t look forward to my boobs looking like a baby sock with a marble in it again though.

    • Avatar Robert Yoho MD (ret) says:

      saline is safer
      most people do well but BII is a terrific health problem for some

      • Avatar Being a Nancy says:

        My surgeon, Dr. Stevens PhD in anatomy? , still has office in Los Angeles and Visalia as far as I know, right off didn’t try to sell me silicone at all. He had his own little surgery center in Visalia.

  • Avatar DrTamara says:

    Excellent and meticulous post . I think I shall call you Dr. Polymath from now on . Thank you for your efforts above .
    Sayer Ji published a Vaccine Research Compendium in which he has one commentary on the connection between CFS and implants . From now on , Iu2019ll ask .

  • Avatar Michelle says:

    I canu2019t believe anyone would get breast implants knowing the manufacturer recommends their removal/replacement after 10 years… I imagine most people gloss over that detail (if informed of it at all), thinking only of the here and now…

    God bless Dr. Kahn for doing this arduous and life-saving work, and God bless you Dr. Yoho for being open-minded and able to admit and apologize for past mistakes. Thank you for sharing these important medical issues with us.

    • Avatar ASK says:

      Well, doctors donu2019t always disclose the problems associated with them. And some of the people getting implants are having single sided (or double sided) mastectomies and want to keep some balance and normalcy.

    • Avatar Frontera Lupita says:

      Honestly I donu2019t think these plastic surgeons who are doing these BI surgeries are telling their patients about the 10 year u2018life spanu2019 of the implants. My now 37 year old niece got implants when she was barely 20 years old. I donu2019t think she was told this by the doctor. uD83DuDE0FuD83EuDD14

  • Avatar Kelly says:

    Dr. Yoho, I believe the best healers in the world are the wounded ones and those who have learned through their personal experiences and share their learning, despite the discomfort. You have those characteristics. I’ll bet you’ll have more influence upon others since retiring than you did during active practice. What you SHARE is so valuable. Thank you! uD83DuDE4F

    • Avatar Robert Yoho MD (ret) says:

      Thanks for your encouragement … I’m hopeful that I’m influencing a few. But even in my personal circles a lot of people DFL and DFR ha

  • Avatar erin says:

    Doc, I know you are often on the hunt for helpful self-care tips, treatments and obscure information. Please check out watercures.org. They are dedicated to helping people rehydrate with salt and water, and there is a great story behind it. I am not sure how active their site is… but it would be great if you gave publicity to the Pennsylvania man who dedicated his later years and lots of money to spreading the message (he died a few years ago), and perhaps interview those behind the site. A very interesting story, and I have found it very helpful in my own efforts to rehydrate. They claim that the water cure is very helpful in a lot of chronic diseases, and would no doubt lead you to fascinating patient stories as well.

  • Avatar Susan Blake says:

    Dear Robert, thank you for this.
    I took over the treatment of a lady in the early 1990u2019s when she was well on the way to recovery following removal of silicon breast implants. Sheu2019d gone through the whole u201Citu2019s in your headu201D situation (How many times did I hear that during my career?) as her body seized up and she experienced debilitating pain. She certainly had many of the signs and symptoms on Dr Khanu2019s list. What added insult to injury was the fact the surgery was done u201Cfreeu201D through our health care system in Vancouver but she had to go to Quebec and pay to have them removed. One of the products she used, struggled to afford but felt helped her detox was Essiac. I looked product up at the time and found it had an interesting history. She certainly believed in it. An interesting side note, during the time I treated her, her irises changed colour quite noticeably, back towards what she said was her normal colour. I look forwards to seeing the videos later as I donu2019t have the bandwidth where I am.
    Thank you for all the work you are doing, itu2019s much appreciated.

    • Avatar Butterfly2510 says:

      I have read about Essiac tea just once. Iu2019d love to know where to source it.

      • Avatar Susan Blake says:

        I looked it up on the Internet: Essiac canada-intl.com, Essiacproducts.com, and Essiac.ca.
        I checked the Vancouver Public Library to see if they have a copy of the book that I read years ago. Not sure if this is the one: “The Secrets of Rene Caisse’s Herbal Pharmacy (2001) Sheila Snow. This may be of interest to you.

  • Avatar Frontera Lupita says:

    I have a niece who had breast implant surgery when she was in her early 20u2019s. I never understood why, she chose to get the implants. Sheu2019s a tall, thin, and beautiful young women, who at the time had a great BF, who became her fiancu00E9e, who sheu2019s been married to for over 17 years. She is now 37. I donu2019t believe the plastic surgeon (in San Diego, CA) who did the surgery told her that she would need to replace them after 10 years. (If thatu2019s the case then sheu2019s way overdue!) Iu2019m not sure if they are causing her any health issues. Sheu2019s a serious user of marijuana, so maybe that is mitigating any pain or problems she is having (but seriously contributes to one of the BII symptomsu2026brain fog)!
    I have been reading about BII for a number of years now. Am even in a FB group about BII, so I could learn more about BII.
    I have also read a lot about it and the various plastic surgeons around the country who specialize in BI removal surgery, because you canu2019t just go to any PS to remove them.. Your link to Dr. Kahn in Michigan, as the u2018go to guyu2019 for breast implant removal, is the second d time I have run across his name. I feel when the time comes that I may be the u2018financieru2019 of the surgery for my niece. Iu2019m going to print out some of the symptoms and send them to her. Thanks for all that good info.

  • Avatar Alisa Walterhoefer says:

    I removed my implants in 2016 because of scar tissue. I wish I had known about Dr. Kahnu2019s method. I am still suffering with fascia restrictions all through my left side. It sounds like he has helped cases like mine, those who have had implants removed without removing everything. Itu2019s awful having this. Iu2019m in physical therapy all the time. Thank you for this information!!!

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