& # 39; Next day we'll get to the beach & # 39 ;: Breast Implantation Marketing with Insecurities reduces risks

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The diseases listed in Nikki Carruthers include: mistakes, loss of memory, fainting, vomiting, thyroid problems, angina, hypertension, heart palpitations, hypertension, migraines, breast pain, ulcers, depression, anxiety and fatigue. In bed at least 18 hours a day.

Carruthers, at the age of 29, did not see the doctor's office until 2013, when she decided to get breast implants. The following health problems have been deferred to dozens of hospital and doctoral visits.

"My whole body was closed," said Winnipeg, who has not been able to work since July. "My throat is burning [it] it swallows it. I try to breathe when someone feels sitting on my chest. "

Promotional machine for $ 1 million in breast implants around the world, with attractive and luminous images of perfect bodies, testimonials and inspirations from famous celebrities – but in many cases it does not mention potential risks, the Toronto Star / CBC Marketplace has been found in collaboration with the International Journalists' Research Consortium.

Breast enlargement is the most popular aesthetic surgery worldwide, with 10 million women choosing last-generation breast implants. Most do not cause harm to health problems, and some studies have satisfaction rates. Manufacturers have emphasized that they have been studying over the years that they have proven their products safe.

But Carruthers increases the number of women in Canada in relation to breast implants with a healthy complication. They also believe that surgeons have been reassured that certificates have been directed to more than ten years of healthcare over a decade.

There is no reason and effect directly associated with implants with directly described symptoms, but it links research-related implants to a strange cancer Breast implant, linked to the lymphoma of the large cell anaplastic cell, or BIA-ALCL.

From Monday, ICIJ is interviewing more than 540 women through series responses stories about health problems. 45 canons responded that women are complaining of infections, hair loss, body inflammation, muscle weakness, problems breathing, neurological problems, suicidal thoughts and the violation of the implant.

Implant promotion

The review of 25 web sites that make up around Toronto plastic surgeons show vivid images, but with contrasting results related to breast augmentation.

Subtitles visit three Toronto plastic surgeons through a CBC The Marketplace producer, who was presented as a future patient, revealed sales techniques, some of which were the "leading problem" of medical ethics.

At the age of 23, Carruthers, unhappy with his body image, was $ 6,300, financed by a credit line.

It seemed safe and easy to me. He talked about the medical risks, beyond the conventional remedies associated with surgery.

"It seems like getting a haircut," he said. "He told me that they were just a few cosmetic hazards, that he would fix something wrong with a touch procedure".

Nikki Carruthers initially decided to get breast implants:

The websites that visited messages about plastic surgery were promises of confidence and perfection.

The illusion of the new body was damaged by health problems, said Carruthers, a 2013 implant surgery.

A year later, he made a second surgery to relieve severe pain in his chest. The implants lowered and lowered in the chest.

The informed consent of each medical procedure is not actively demonstrated by a guardian of the province or province The principle of guaranteeing full knowledge of the potential outcomes of patients.

There are no standard rules. Plastic surgeons report risky patients. Each doctor has his approach.

You need to understand & # 39;

When Market producers were asked about the time of recovery at three clinics, 24 hours and 6 weeks.

"At night we can dine after the surgery, we will approach the beach the next day," said Dr. Mahmood Kara.

Asked about explaining specific techniques, Kara replied: "You do not have to understand it, I have to understand that I can deliver it and I've done it for thousands of patients."

Bioethicist at the University of Toronto, Kerry Bowman, says the patient's consensus is required to provide an informed statement.

"I'd be worried about that, because you need to understand it," Bowman said. "Ethically and legally … You have to have a sick patient and have all the risks to understand and get rid of."

The presentation of medical risks associated with breast implants is also disturbing.

Throughout the consultation, Kara called the usual surgical surgeries, such as bleeding, infection and normal scarring on the implant, known as capsular contraction.

But on his website, Kara calls it "myth" if they allow implants to enter the body.

Jan Willem Cohen Tervaert, Rheumatology Director, University of Alberta School, author of some studies that determine the links between breast implants and autoimmune diseases, investigates the research.

"Many have many publications with new silicone leaking implants," he said.

In the list that determines the risks of implants, The United States Department of Food and Drug also notes silicone rooms to migrate from rogue devices remotely to breast.

Kara repeated the interview requests.

Advice forms can be tough

In plastic surgery, Dr. Martin Jugenburg, on his website, Dr. As known as 6ix, the journalist authorized the procedure, before applying for a copy of the authorization explaining surgical risks and post-op instructions. The decision and $ 2,000 to reserve a deposit for surgery.

"I do not think it's possible for such reasons," said the nurse at the clinic, after giving permission.

"I was surprised to receive a lot of confirmation," Bowman said Marketplace hidden camcorder footage. "I think it's a prepaid thing, it's very problematic from an ethical point of view".

In a questioned written response, Jugenburg said that his clinic did not receive or receive permission to pay for patients.

"This was not clear to your researcher's visit and your views, I was sure that there was no confusion in the future."

Third visit to a Toronto clinic Marketplace, Dr. Sean Rice described the time implant as a surgeon. She gave her the permission given by her nurse and told her that she had to go home, and then contacted the clinic with questions or concerns.

In the email address Market, Ric said: "I want to guarantee that all patients fully understand the risks associated with their surgical procedure, and allow them to discuss the way they can be followed by the follow-up questionnaire for the follow-up to the Surgeon, which allows patients to evaluate and grant approval."

Bowman's decisive time for the decision-making decision is crucial, even though the instructions set by the university guidelines do not dictate to doctors.

Available to three clinics that were available for marketing, the surgery dates were available: 24 hours a day, four days later and a few weeks later.

Photos before and after

Most plastic surgeons websites have testimonials and "before and after" images, images of the provincial laws and violations of the Ontario College of Physicians and Surgeons policies.

"In the past, when we have warned the use of previous and subsequent photographs, they have also been warned against regulation," said spokesman Shae Greenfield spokesman, who warns the doctor to punish him.

Last year, the university took charge of the photos of the magazine Kara before and after.

"Due to the definitive breach of publicity policies and regulations, [college complaints’] The Commission was not happy that it would change its behavior without further guidance, "he decided by reading.

But on their website they have been featured more than before 260 plastic surgery procedures before and after.

Jugenburg nowadays has a disciplinary audience in the face of university, acknowledging the professional harmfulness of advertising methods, authorizing a film crew to do so without permission from a patient's surgical procedure, "misusing" their "use of their images" and "pre- and post- images made in the media, without their permission "," pressing and monitoring "social media.

In response, Jugenburg said the allegations were "denied and defended."

Previous and subsequent use of photographs is "widespread" in medicine, he wrote and the images "provide the public with adequate information, because patients carry out more research on the Internet, they require more transparency … and their own decision-making capacity is governed".

Some plastic surgeons practice before submitting images.

The plastic surgeon of Toronto, Dr. Leila Kasrai explains why she does not do it: "The rules of advertisements for doctors and drug users in Ontario are set for Ontario physicians. We can not show our patients' pictures and testimonials."

Choosing a Explanation

After worsening symptoms, Nikki Carruthers suffered a third breast surgery last September: this time she removed her implants, although she never had a clear diagnosis of her symptoms in the face of implants.

When a discovery was discovered: the right implant was broken and the implants showed the mechanical contrast with the caulking printers, according to the analysis of the implants removed by Pierre Blais, analyzing the former consultants and former chemists of Canadian Health. Now, the company Ottawa tests devices.

"This type of fracture is common and indicates … material fatigue", reads his report. "There is no trauma or unexpected result … damages."

In an interview, Blais said Carruthers "breaking the right implants", "broken into four parts," is hardly the only one.

"When you look at the guidelines for using such products … it says it's going to happen," Blais said. "It is not correct, it might be said that a fracture will occur – How long do you need? "

Carruthers said Blais's statement was a statement. "My instincts were correct. I was not insane."

Since his explant, Carruthers said he would shrink a liver tumor. However, pain and fatigue, cognitive impairment, tremors and symptoms continue to return to work as an autoimmune.

"Now how many women can imagine today … I do not have the idea of ​​what is wrong, desperate and crazy," he said. "The whole thing falls to my belly, whenever I think".