A new study regarding breast implants draws new conclusions about their overall effect on health. But according to many in the plastic surgery community, the study isn’t the full story.

Published in the Annals of Plastic Surgery, the paper—authored by plastic surgeons at University of Texas MD Anderson Cancer Center—uses data from close to 100,000 breast implant patients and is the largest study of silicone gel implants since 2006. It concludes that breast implants are associated with higher incidence of certain medical conditions