The most recent statistics from the American Society for Aesthetic Plastic Surgery show the three most performed cosmetic plastic surgery procedures in 2010 were breast enlargement, liposuction, and blepharoplasty. Dr. Ruiz Ruiz adds tummy tuck, or abdominoplasty to this list of most popular procedures for his patients in Málaga and Costa del Sol area.

Silicone breast implants appear to be safe, although the surgery itself is not foolproof, the Food and Drug Administration reported on Wednesday.

The FDA released a report summarizing four years of data after the 2006 approval of the implants, which had been scrutinized for evidence they could leak and cause cancer, fibromyalgia, rheumatoid arthritis, and a range of other ills.

This does not appear to be the case, the FDA concluded -- but the implants also don't last a lifetime. "The longer a woman has silicone gel-filled breast implants, the more likely she is to experience complications," the agency warned in a statement.

"One in five patients who received implants for breast augmentation will need them removed within 10 years of implantation. For patients who received implants for breast reconstruction, as many as one in two will require removal 10 years after implantation."

Common complications of breast enlargement surgery include a hardening of the area around the implant, implant rupture, wrinkling, asymmetry, scarring, pain, and infection.

"Preliminary data do not indicate that silicone gel-filled breast implants cause breast cancer, reproductive problems, or connective tissue disease, such as rheumatoid arthritis," the FDA advised.

"However, in order to rule out these and other rare complications, studies would need to enroll more women and be longer than those conducted thus far."

Debates over the safety of silicone breast implants drove Dow Corning out of the business, after it paid out billions to women who claimed their health was damaged by them.

The Public Citizen Health Research Group began saying implants could cause cancer in the 1980s, and several media reports sparked a deluge of lawsuits. Scientific and medical studies showed no link, but the FDA said the makers had not proved the implants were safe, either, and limited their use.

In 1.999, the Institute of Medicine, which advises Congress and the federal government on health matters, issued a report showing the implants did not cause the range of diseases that patients believed they did. Their sale for cosmetic use resumed in 2006.