Breast Implantation Rates in Israel: Is There a Change in Trend?

Elizaveta Kouniavski*, Eran Hadad, Lior Heller

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: Breast implant illness (Bll) is a rising concern among many patients. Although not fully understood, a connection between silicone breast implants and systemic diseases may be present. This connection may influence the types of breast surgeries performed. Objectives: To evaluate changing trends in breast surgeries in Israel overtime, with regard to implantation, explantation, and implant exchange surgeries. Methods: In this ecological study, we presented data from four private medical centers in Israel regarding the number of breast implant surgeries performed in the years 2018-2019. Data were collected bi-yearly. The types of surgeries included breast implantation, explantation, and breast implant exchange. Results: When we summed and compared the yearly data, we saw that the number of implantations in 2018 was 2267 (80.1 % of breast implant procedures that year), and 1929 (68.9%) in 2019. The number of implant exchanges in 2018 and 2019 was 482 (17.0%) and 608 (21.7%), respectively. In 2018, 80 (2.8%) explantations were performed and 262 (9.4%) in 2019. Conclusions: There appears to be a trend in the rise of implant removal surgeries in addition to a decrease in breast implantations. One possible reason may be patient concerns of Bll. Another reason may be the increased public interest and discussion about systemic effects of breast implants. More research is needed in this field to achieve better understanding of the phenomenon, the reasons behind it, and the possible solutions and ways of treatment.

Original languageEnglish
Pages (from-to)735-739
Number of pages5
JournalIsrael Medical Association Journal
Issue number11
StatePublished - Nov 2021


  • Autoimmune/inflammatory syndrome induced by adjuvants (ASIA) syndrome
  • Breast implant illness (Bll)
  • Capsulectomy
  • Explantation
  • Silicone breast implants


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