And the Breast is History: Issues Surrounding FDA Regulation of Silicone Breast Implants

Abstract

The breast implant crisis has raised serious issues for women. On one hand, it is difficult to argue against giving women the right to choose, especially when the choice involves their own bodies. Restricting freedom in that realm is politically unpopular these days. On the other hand, women have been harmed by the lack of conclusive health information and by deceptive and coercive messages sent by media, implant manufacturers and plastic surgeons. For women to benefit from their right to choose, they must have more accurate and complete information. The conflicting studies currently available are insufficient to form the basis of an informed choice. In addition to medical information, women should also be given information about the psychological motivations behind cosmetic surgery. Women should be reminded that they are not freaks or diseased if they have small breasts. Other means of gaining self-esteem and confidence should be explored before the drastic decision to go under the knife is made. Finally, sources of misleading or deceptive information that results in harm to women should be punished. The Federal Trade Commission does have the authority to monitor advertising which makes claims about specific cosmetic procedures, but nothing short of social reform will combat the misperception that all women must look like models to lead satisfying, fulfilled lives. The role of regulation is important in protecting against societal myths and their resulting harms. Unless women can gain access to the whole story, the FDA should ban breast implants for all purposes in the name of the health and happiness of women.