Silicone breast implant has been the topic of hot debate in the past decade especially with a significant number of women undergoing breast implants for cosmetic or reconstruction purposes. One of the main concerns of the patients when they come to the clinic is its efficacy and safety, risks and complications, its associated illness and conditions. A review of all the literature in the past 2 to 3 decades show that silicone breast implants have been associated with illnesses such as connective tissue disease, pain disorders, rheumatologic disorder, immune dysfunction, etc. You need to understand that the silicone breast implants are extremely safe. The FDA has been studying it for decades to establish its safety. New advances in technology have greatly improved the silicone material, which has made the implants sturdier and more cohesive allowing it to maintain its shape and increasing its tensile strength. In addition, the shell of the implant has been significantly refined and upgraded so that there is lower risk for silicone leakage unlike before. These studies have shown that silicone implants are very safe and a definitive association with disease has been conclusively refuted in many studies.