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Switching from Textured to Smooth Silicone Implants

asked 2 years ago by Chloe_Conway in St. Louis, MO
Latest answer by Steven Teitelbaum, MD
Question viewed 677 times
Tags: breasts, bigger

I am getting my breast augmentation on July 17. I was doing some research last night and found out that many studies have shown that the textured silicone implants really do not help to decrease the rate of capsular contracture. My plastic surgeon prefers to use the textured, so I decided on textured. I, however, changed my mind due to the higher rate of rippling, and rupture. Would it be ok to call on Monday and ask to get smooth implants instead? Would it also be ok to ask to go in, and talk to him again? I am really nervous.

3 answers to Switching from Textured to Smooth Silicone Implants

+2

Performance data for textured vs smooth silicone implants inconclusive

This is elective surgery. Don't proceed until you are confident with your choices. The bottom line is that there is no data that conclusively shows one is much better or worse than the other. At best, textured has a slightly lower capsular contracture rate. Smooth feels only a little better, and its rupture rate is only a little lower than textured. The differences just aren't that big. (At least with silicone they aren't. But with saline, the smooths definitely seem to perform... more
Steven Teitelbaum, MD

Los Angeles Plastic Surgeon
+1

Don't be afraid to ask questions; It's your body!

First off, it is okay to change your mind. You should be 100% comfortable with your decision before you have surgery. Call your surgeon and meet with him or her again to make sure all of your questions are answered. You should be able to get the implants you desire. If your needs are not being met, you should find someone who can accomodate you.
Richard Ellenbogen, MD

Los Angeles Plastic Surgeon
+1

Textured vs. smooth breast implants

I agree completely with you. There is a higher rate of failure and rippling with texturized implants with no evidence of decrease in capsular contracture. Whereas I used them often 10 years ago, I now have abandoned them. I'm sure your surgeon will be glad to use smooth and it is a good idea to have a chat with him about your reasons for switching.
Vincent N. Zubowicz, MD

Atlanta Plastic Surgeon

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