Fast facts
Saline Breast Implants

What it is: A saline-filled breast implant used to enlarge breast size in Breast Augmentation plastic surgery.  Saline is a sterile solution of salt and water that can fill the implant in varying amounts to affect breast characteristics like feel, firmness and shape. 

What it addresses:

- Dissatisfaction with small breast size
- Changes in breasts post-pregnancy
- Breast asymmetry
- Post-mastectomy breast reconstruction


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Question

Natrelle saline-filled implants with texture

I was to get saline implants without the texture. Today when I went to doctor he said he put in natrell textured saline implants and I specifically asked not to have that. I need to know about this kind of an implant. I am upset because of this and need to know more. Thanks Jean


Asked by: Anonymous

Answers (2)

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1
June 19, 2008

textured implants

Daniel C. Mills, MD
Daniel C. Mills, MD
Board Certified
Plastic Surgeon

Historically textured implants didnt come on the scene until the late 80's.  If you are placing them on top of the muscle, there is good evidence that textured implants really do cut down on the chance for capuslar contracture.  They also keep a shaped implant from turning around at will. 

When placing them under the muscle there is no difference in the literature between the textured and the smooth wall implants in the chances of capsular contracture.  When placing the implant above the muscle there is no question that using a textured implant will cut down on your chances of capsular contracture.  There are those who believe that textured implants break sooner, as there is a sheer force applied to the.  I tell my patients that the textured variation is a bit harder to the touch, as it is adherent to the soft tissues. 

Personally, I dont find that the feel of the textured impants are as soft for most people.,  I would also say the they make the breast a bit harder and they dont move around as much the smooth variety.  That being said,  It isnt the end of the world.  And if they are on top of the muscle, there are many good things    I hope that this is helfpul and that you are doing well here.

It is unfortunate that you and your physician had poor comunication.  I think that you should ask him why he used the textured implant in you.  What were his pros and cons.

2
June 19, 2008

Natrelle implants

Steven Teitelbaum, MD
Steven Teitelbaum, MD
Board Certified
Plastic Surgeon

There are currently two American breast implant manufacturers: Mentor and Allergan. Allergan has branded all of their breast implants with the name Natrelle.

Those implants include round saline-filled implants with both a smooth and textured shell (the texturing on Allergan's implants is called Biocell and the texturing on Mentor's implants is called Siltex.) They also make an anatomic or teardrop implant, and they only come with texturing (in order to help fix the anatomic implant in place, keeping it from rotating and thereby creating a disfigurement.)

Both textured and smooth are excellent. The purported advantage of texturing is to reduce capsular contracture. There is some suggestion that there is such an advantage with silicone filled implants, but it is far from proven, and there is no consensus about whether it really helps with silicone implants. With saline implants, most people believe that there is not an advantage in reducing contracture, but there are surgeon who believe that they notice a reduction wtih texturing. But all anatomic shaped implants are textured for the reason mentioned, whether saline or silicone filled.

The disadvantage of texturing is that some people believe that one can feel the shell a little more easily, and that folds or irregularities in the shell can be more obvious.

It is interesting that overseas, most implants used are textured, but in the United States, smooth are more often used.

In any case, both are excellent. Obviously, I don't know what transpired between you and your surgeon, but rest assured that textured Natrelle implants are excellent. Unless you had a specific problem that could be attributable to texturing, then this is probably not something worth worrying about.

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