ALCL is extremely rare yet very real. The FDA as well as Canada Health are taking it very seriously. So far, all of the cases of ALCL, which is a very small percentage of the overall number of patients with breast implants, involve textured implants only. If you have textured implants, there is no need to panic. It does not mean that you will get ALCL. But you do want to pay attention, and if you get an unexplained fever then go to your plastic surgeon. When caught early, ALCL is totally curable. Really, the best way to stay on top of your breast implant health in general is to take advantage of your yearly follow up. I encourage all of my breast augmentation patients to come in and see me annually. It gives me the opportunity to check on you physically, and to discuss any breaking news that may be causing anxiety