Establishing a Comprehensive and Scientific Approach for Women With Systemic Symptoms Attributed to Their Implants (Breast Implant Illness)

Release Date: January 31, 2022
Expiration Date: January 31, 2023
Time to Complete Activity: 1.5 hours

Steering Committee 
William P. Adams Jr, MD

Associate Professor of Plastic Surgery 
Program Director Aesthetic Fellowship UTSW
UT Southwestern Medical Center
Dallas, TX
The Aesthetic Society
Past President
Aesthetic Surgery Education and Research Foundation (ASERF)

Caroline A. Glicksman, MD, MSJ
Clinical Assistant Professor
Hackensack Meridian School of Medicine 
Nutley, NJ
Glicksman Plastic Surgery
Sea Girt, NJ
Co-Chair ASERF Scientific Research Committee
ASERF Board of Directors 

Patricia A. McGuire, MD, FACS
Clinical Instructor of Surgery 
Washington University School of Medicine 
Private Practice Plastic Surgery
St. Louis, MO
ASERF Board of Directors

Patient Advocate 
Jamie Jolly, PharmD
Charlotte, NC

Dani Woolhouse

Target Audience 
This activity has been designed to address the educational needs of plastic surgeons and other healthcare practitioners who are involved in the management of patients presenting with claims of systemic symptoms of breast implant illness (BII).

This activity is provided by Paradigm Medical Communications, LLC.  
In collaboration with The Aesthetic Society. 

Supporter Acknowledgment 
This activity is supported by an educational grant from AbbVie Inc. 

Program Overview
BII is a recent clinical phenomenon characterized by a wide range of chronic, nonspecific, systemic symptoms whose etiology is attributed to a patient’s breast implants. While potential links between systemic disease and breast implants have been investigated for more than 4 decades, the pathogenesis of this constellation of symptoms and diagnostic criteria remains unclear. Women, especially those who are dissatisfied with physician interactions, are increasingly choosing to have their implants removed in an attempt to manage these symptoms, in part due to unverified information they have found on social media and other sources that are nonclinical or lack scientific verification. To properly address the needs of these patients, plastic surgeons need to be able to identify potential symptoms of BII; assess whether any or all of a patient’s symptoms are related to her implants; make educated decisions regarding workup, diagnosis, and management; and communicate with patients effectively and empathetically to support a collaborative, informed decision-making process. 

Learning Objectives
Upon completion of this activity, participants should be able to:

  • Recognize the wide scope of systemic symptoms that may be associated with the collective illness of BII that patients with implants may report
  • Describe strategies for appropriate diagnostic workup and treatment to address needs of patients who present with systemic symptoms of BII based on the latest clinical and scientific data
  • Devise an effective and compassionate communication plan to educate patients who have suspected BII to ensure collaborative decision-making regarding treatment decisions

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Physician Credit Designation Statement
Paradigm Medical Communications, LLC designates this enduring material for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

PA Continuing Education
PAs may claim a maximum of 1.5 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society.

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Instructions for Participation 
To receive a certificate of participation, participants must:

  • Follow instructions to register or log in with your professional information and complete the pre-activity assessment
  • View the online activity in its entirety
  • Complete and submit the online posttest and evaluation. You must answer 70% of the posttest questions correctly to earn credit. You will have unlimited opportunities to successfully complete the posttest

A certificate of participation will be available for download/printing immediately following your successful completion of the posttest and evaluation.

For questions regarding CME credit, contact the Paradigm CME Department at (845) 398-5949 or

There is no fee required for participation in this activity.

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In accordance with the Accreditation Council for Continuing Medical Education’s (ACCME) Standards for Integrity and Independence in Accredited Continuing Education, Paradigm requires that all planners, faculty, and others who are in a position to control the content of this activity disclose all financial relationships with ineligible companies during the past 24 months.

All relevant relationships are identified and mitigated according to Paradigm policy prior to individuals assuming their roles, and are disclosed prior to learners’ engagement in the activity. Paradigm is committed to providing learners with high-quality accredited continuing education that promotes improvements or quality in healthcare and not a specific proprietary business interest of an ineligible company. 

The content of this activity was independently reviewed to ensure that it is fair and balanced, scientifically rigorous, evidence based, and aligned with the public interest. All relevant relationships have been mitigated. 

Patricia A. McGuire, MD, FACS
Consultant: Establishment Labs

William P. Adams Jr, MD
Stocks: Tepha Inc (expired 7/21)

Caroline A. Glicksman, MD, MSJ
Other: Establishment Labs (Clinical Trial)

Jamie Jolly, PharmD
Has no relevant financial relationships with ineligible companies to disclose.

Dani Woolhouse
Has no relevant financial relationships with ineligible companies to disclose.

Paradigm Medical Communications, LLC staff members have no relevant financial relationships with ineligible companies to disclose.

Independent peer reviewer has no relevant financial relationships with ineligible companies to disclose.

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