Dr Eva Nagy - Sydney Oncoplastic Surgery

20/07/2025

Implants can rupture. There are cool videos where people slam new implants into the ground, punch them, and even step on them, to demonstrate how implants can withstand a lot of physical punishment without rupturing. Yet, my clinical experience shows that more than half of the women with breast implants will have a rupture or leak. In fact, in patients whose imaging showed no implant issues, implant leaks were detected in about 30% of them.
Implants can break down for a number of reasons. These include:
mechanical fatigue, chemical leaching, biological processes, and trauma.
It's important to have a clear understanding of risks before deciding to have them, and to speak with your doctor promptly if a rupture is suspected.

(This post is intended as general information and not medical advice. Speak with your doctor about your specific health concerns.)

30/03/2025

It's encouraging to see Plastic Surgeons like Dr Brenner who speak openly about the growing list of complications associated with implants. In this video, he discusses FDA's notice that other cancers have been observed and linked with breast implants. He also discusses Breast Implant Illness, and his observations of clients' health after explant and capsulectomies.
https://youtu.be/6eOmH6tivyY?si=KV2GLSWde_R-LUDv

(Views of the speakers in the video are their own and do not necessarily represent the views of Sydney Oncoplastic Surgery.)

Plastic and reconstructive surgeon Dr. Kevin Brenner explains the FDA's Sept. 8 warning about new reports of cancer cells found in the scar tissue around bre...

28/03/2025

Breast implants are not risk-free devices. They are certainly not "perfectly safe!"
It has taken a lot of time and advocacy to get health agencies to start recognising the risks of implants. Good to see a more comprehensive lists of risks by the US FDA, which hopefully will be mirrored by the Australian regulator.

The webpage provides information about some of the complications and adverse outcomes of breast implants.

13/02/2025

Tara (not her real name) saw me a few years after she had her breast implants removed. A number of years after having them put in, she started feeling unwell. She promptly got a plastic surgeon to remove them and requested for a complete capsulectomy. While she saw some improvements in symptoms, Tara's symptoms persisted in spite of the implants having been removed.

While the main reason for her seeing me was to address the persisting symptoms, Tara also mentioned that she wasn't satisfied with how her breasts looked after explant surgery (appearing somewhat deflated and lacking volume). We had an extensive discussion on the possibility that she might have residual implant scar capsule in her chest (might it be the cause of persisting symptoms?). There was also a detailed explanation of the option of mammoplastic reconstruction.

A few months later, Tara decided to have surgery to check for residual scar capsule and for a mammoplastic reconstruction of the breasts at the same time.
During the surgery, significant pieces of scar capsules were found in her chest (these were carefully removed). A mammoplastic reconstruction was also performed to improve both the volume and shape of her breasts.

It has been 9 months since Tara's surgery with me, and the results have been encouraging. Tara's BII symptoms have significantly improved, and she is very satisfied with the results of the reconstruction.



(Information contained in this post is general in nature and is not intended to be medical advice. Speak with your doctor to obtain advice on your own situation. Surgery results vary across individuals. Pictures here are not predictive of expected results. Images used with patient's permission)

15/10/2024

Our deepening understanding of MCAS and BII should shape our approach to breast cancer treatment.
In my practice, I prefer (where oncologically safe to do so) performing a lumpectomy over a mastectomy. If the surgeon doesn't need to remove the entire breast, then why not leave as much of the breast unaffected as possible? Reconstruction of breasts following lumpectomies are increasingly common and should be considered.
When a mastectomy is necessary, then a full discussion around reconstruction (and its risks) should be had with a patient. This discussion should include non-implant based reconstruction options where feasible. Finally we need to respect the decisions of patients who choose not to have any reconstruction done - it is their choice!

🎀 October is Breast Cancer Awareness Month

To honor this important month, I'm resharing two insightful interviews with the incredible Dr. Eva Nagy, a world-renowned breast surgeon.

🔍 Breast Implants and MCAS Insights: https://podcasts.apple.com/us/podcast/breast-implants-and-mcas-insights-with-surgeon-eva-nagy/id1717106678?i=1000661725966

🗣️ Breast Implant Illness: https://podcasts.apple.com/us/podcast/mcas-breast-implant-illness-with-breast-surgeon-eva-nagy-md/id1717106678?i=1000640273565

Dr. Nagy shares her expertise on Breast Implant Illness (BII) and its potential link to Mast Cell Activation Syndrome (MCAS). She explains BII symptoms, her approach to removing problem implants, and the impact on patients' health.

29/09/2024

It was an absolute honour participating in and presenting at this year’s Mast Cell Masterminds in Oregon, USA.
Very encouraging seeing the increasing number of healthcare professionals take a deep interest in mast cell disorders and treatment strategies.

11/09/2024

Having dense breasts means that conventional screening by mammogram is not as reliable. It also poses a higher cancer risk.

This step taken in the US is one in the right direction. Hopefully it’ll be replicated here in Australia soon.

A new FDA mandate starts Tuesday that will require mammogram facilities to notify patients of dense breast tissue. NBC News medical contributor Dr. Natalie A...

20/08/2024

The Australian health funds have raised premiums, citing inflation as a key driver of rising cost of providing healthcare. That reasoning sounds fair, until you look at the generous profits that health funds are churning and assess them next to financially-ailing private hospitals, and healthcare workers who are struggling to cover their mortgages. I have no issue with raising premiums by appropriate margins; but I think the health funds have a duty to ensure that such increases are not directed just to fatten their own bottom line. The Australian private healthcare sector deserves better for its patients.

In some cases, policyholders have been hit with an increase as high as 17 per cent — experts say Australia's aging population may be to blame.

16/08/2024

Women are developing breast cancer at a younger age. This week I saw two patients in their 40s who had been diagnosed with breast cancer. Early detection is everything! In Australia, women are eligible for free mammograms from the age of 40. Please do not delay screening. And speak with your family doctor if you notice any changes to your breasts.

Call 13 20 50 to book your free mammogram.

Breast Screening Public Web Module

06/08/2024

Breast Implant Illess ("BII"):
What is it? Is it even a real thing?
What does it look like? How do I know if I have it?
What causes it?
Is this something that I should look into before I get my implants?
How do I get better from it?

The Breast Implant Illness Summit 2024 is finally here and it promises to be a really fruitful time of knowledge-sharing from patients, journalists, physicians, pathologists, naturopaths, and surgeons, just to list a few.

Register here:
https://breastimplantillnesssummit.com/

Reversing Breast Implant Illness

26/07/2024

It was an absolute pleasure and honour to sit down with Dr. Tania Dempsey and Jill Brook again to discuss Breast Implant Illness, MCAS and the findings of the paper my colleagues and I recently published. In this second podcast, we discussed BII and its observed relationship with MCAS, the recovery seen in explant patients, and our thoughts on root causes of these prickly problems.

In this episode of Mast Cell Matters, I chat with Dr. Eva Nagy, a renowned breast surgeon, about her groundbreaking research on MCAS in Breast Implant Illness. Dr. Nagy, the world's leading expert in explant surgery, shares her latest findings and their impact on patient care.

Click here to listen: https://drtaniadempsey.com/major-findings-in-breast-tissue-with-surgeon-eva-nagy

08/07/2024

Looking forward to chatting about implants, BII, its relationship with MCAS, and explant surgery.

Will also cover commonly asked questions and misconceptions.

Join expert Dr Eva Nagy, an Oncoplastic Breast Surgeon practising in Sydney, Australia as she shares her expertise in diagnosing and managing Mast Cell Activation Syndrome (MCAS) and Breast Implant Illness (BII).

Eva's work focuses on treating women with breast conditions, including Breast Cancer and Breast Implant Illness. Her professional interests include topics such as de-escalating breast cancer treatment, the relationship between Breast Implant Illness and MCAS, and the establishment of a standard to which breast explant surgeries are performed.

Secure your ticket here:

https://events.humanitix.com/australian-pots-foundation-webinar-on-mast-cell-activation-syndrome-and-breast-implant-illness