You need to have an open dialogue with your plastic surgeon discussing your issues and concerns

Stephen A. Goldstein, MD answers: Do textured breast implants cause tissue loss during removal?

I currently have the Inamed 410 form stable implants - 280 grams. I am having them replaced in March 2009 with 200cc Mentor Round Moderate Profile Silicones. The 410s are textured and I've heard that when these implants are removed, the breast tissue that they had adhered to can be removed with the implant as well. Is this true?

I didn't have much tissue to start with and would hate to lose any that I did have. Also, the fact that my first BA was in early December of 2008 (only three months before my re-do) mean that perhaps the implant hasn't completely adhered? Thanks in advance. Your repsonses have been very comforting.


Stephen A. Goldstein, MD
9 months ago
By Stephen A. Goldstein, MD - Denver Plastic Surgeon

To accurately answer your question, a detailed physical examination needs to be performed. In general, textured implants do promote a thicker scar capsule surrounding the implant.

Assuming that you do not have a problem with hardening of the breasts due to ‘scar capsular contraction’, your plastic surgeon should be able to preserve the vast majority of your tissue surrounding each mammary implant.

Your concerns are very valid. I would encourage you to continue to have an open dialogue with your plastic surgeon discussing your issues with him/her.

I hope this helps!

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