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.

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18 answers to “Do textured breast implants cause...”

A: Textured breast implants do cause a thicker capsule around breast implants

Brooke R. Seckel, MD
By Brooke R. Seckel, MD - Boston Plastic Surgeon

Sandy, Be sure and discuss these concerns with your doctor. It is true that textured breast implants do cause a thicker capsule around the breast implant, which can be very adherent. If the doctor feels he/she has to remove the entire capsule before inserting your new implants, then there is some risk that... more

A: Texture will not cause a loss of breast tissue

Peter E. Johnson, MD
By Peter E. Johnson, MD - Chicago Plastic Surgeon

The texture on the 410 implant will grab somewhat to keep the implant from rotating in the breast pocket. I have changed several of these and the capsule will separate easily from the implant without loss of breast tissue. Your surgeon may need to open the capsule when the new implant is positioned, we call... more

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

Stephen A. Goldstein, MD
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... more

A: There should not be tissue loss

Daniel C. Mills, MD
By Daniel C. Mills, MD - Orange County Plastic Surgeon

I do a lot of revision work in Orange County of breast implants, and I am on the study for the 410 implants for reconstruction and for revision surgery.  There should not be any loss of tissue because of the implants being textured generally.  I would not personally do your surgery until the... more

A: No tissue loss will occur

Richard P. Rand, MD
By Richard P. Rand, MD - Seattle Plastic Surgeon

Even if your tissues have fully adhered to the implant, it is a simple matter for the surgeon to sweep the junction between you and the implant with their finger and take the implant out. It sounds like velcro but no tissue is removed.  Please also know that you will see a drastic size and profile... more

A: Breast Implants and Volume Loss on replacement

Steven H. Williams, MD
By Steven H. Williams, MD - Bay Area Plastic Surgeon

Thanks for the question. Changing implants in itself will not cause tissue loss.  If you have a thick capsule and it needs to be removed then there can be some tissue loss as part of removing the capsule.  In addition, the thickness of the overlying tissue may stretch out some and appear thinner -... more

A: Removal of textured implants will not cause tissue loss

George J. Beraka, MD
By George J. Beraka, MD - Manhattan Plastic Surgeon

To sandyt123, Hi! You don't say why you are having the implants replaced, but you are probably doing the right thing. I have seen a lot of problems with shaped textured implants and I don't use them. My other suggestion is to use moderate PLUS profile round implants. The "moderate profile" implants... more

A: Generally, you should not have tissue loss.

Behzad Parva, MD
By Behzad Parva, MD - Washington DC Plastic Surgeon

Given that your initial surgery was just a few months ago and you are replacing with a smaller implant, there should not be any loss of tissue.  If you have had significant scar tissue develop, the pocket may have to be modified, but you should discuss these concerns with your surgeon since he is very... more

A: Texture implant will not cause tissue loss

Kamran Khoobehi, MD
By Kamran Khoobehi, MD - New Orleans Plastic Surgeon

Please discuss your concerns with your plastic surgeon. Make sure that you are changing implants for the right reason. Changing the implant will not add tissue to your breast. Texure implants adher to the tissue but that makes removing the implant harder but you should not loose tissue. The othere option is... more

A: No tissue is lost during textured implant removal

Michael S. Beckenstein, MD
By Michael S. Beckenstein, MD - Birmingham Plastic Surgeon

The textured surface of this implant is readily separated from the capsule that has formed around it and you will not lose any tissue. Make sure the shape change is what you are truly looking for!

Comments

sandyt123
5 posts
6 Feb 2009

Thanks to you all for your imput. I'm downsizing my implants as the current ones are too big for my liking. Knowing that there will be minimal, if any, tissue loss is comforting. Sandy

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