Textured Breast Implant Enquiry Form

All fields marked with a*are required for the form to be submitted

Textured implants have been linked to a rare form of cancer called breast implant associated anaplastic large cell lymphoma, BIA-ALCL.

Leigh Day is currently investigating claims on behalf of women who have had a diagnosis of BIA-ALCL or are being investigated for BIA-ALCL. If you would like to speak to a member of our team regarding a potential BIA-ALCL claim, please email us.

If you have not had a diagnosis of BIA-ALCL but are concerned about developing this condition, and would like to be added to our mailing list so that we can keep you up to date on what we are doing at Leigh Day in regards to BIA-ALCL and inform you if we are able to pursue legal action for you in the future, please complete our questionnaire below.

First name*
Second name*
Telephone*
E-mail*
What type of implant was used in your case?*
Date of implantation?*
Have you had your implants removed?*
Date of removal?
At which clinic were you implanted?*
Do you have a confirmed BIA-ALCL diagnosis?*

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Textured Breast Implant Enquiry Form