Textured Breast Implants Best Choice After Capsular Contracture?

asked 2 years ago by uncertain in dallas, tx
Latest answer by Steven Wallach, MD
Question viewed 824 times
Tags: silicone implant, textured

I had breast augmentation with cohesive silicon (smooth) over the muscle December 2008. My original plastic surgeon stated that I do have capsular contraction of both breasts and recommends revision surgery. He recommended under the muscle this time with textured implants.

I've read that textured implants may be firmer and may be more easily visible as well. Is there really a significant difference between textured and smooth unders with respect to capsular contraction? From the research I've done the advantages of using textured implants seems inconclusive.

9 answers to Textured Breast Implants Best Choice After Capsular Contracture?

Textured implants after capsular contracture

If you have subglandular implants and a capsule, and your surgeon is going under the muscle with textured that is OK. I am not a big fan of textured, because they tend not to move as freely as smooth.

Steven Wallach, MD
Manhattan Plastic Surgeon

Textured Breast Implants Best Choice After Capsular Contracture?

Although textured implants are reportedly associated with a lower risk of CC many patients do not like the feel of the texutred surface

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Textured breast implants after capsular contracture

Love the Smooth Round High Profiles NOT the textured. Placement is the issue unless you are a body builder or exercise freak. Please consult with more boarded plastic surgeons. From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Help for Breast Capsular Contracture

The risk of capsular contracture is dramatically increased with subglandular placement of breast implants. This is why virtually every plastic surgeon places them under the pectoralis muscle. The rate of capsular contracture for both saline and silicone implants decreases dramatically under the muscle. In addition texturing also decreases this rate. So I agree that the best solution would be textured implants placed under the muscle. The implants are slightly thicker but I think it... more

Christopher L. Hess, MD
Fairfax Plastic Surgeon

Breast augmentation revision whth capsule contracture

The most effective way to reduce capsule contracture in your case would be to replace the implants beneath the muscle. I would still use smooth silicone gel implants . Textured implants tend to cause rippling and there is no proof that they reduce capsule contracture. We use Singular 10 mg twice daily starting one week before surgery to help even more to minimize capsule contracture rate.

Burr Von Maur, MD
Orange County Plastic Surgeon

Textured implants in capsular contracture

I agree with your plastic surgeon that your implants should be moved to a submuscular location. I do not use textured implants and would not in your case. I agree that they are more likely to cause rippling and my incidence of capsular contracture is very low using smooth silicine implants.

John Whitt, MD
Louisville Plastic Surgeon

Implant surface vs contracture

There is a significant difference between smooth and textured implants over the muscle. Over very long period of time, this may not be as great as initially. Under the muscle, the difference between the two is less significant. When you change from over to under the muscle you will start from scratch regarding the contracture issue. The silicone implants have historically had a higher contracture rate. I agree with putting them under the muscle. You my want to consider staging the... more

Scott E. Kasden, MD
Dallas Plastic Surgeon

No Advantage to using Textured Implants Aside from Reconstructive Surgery

The placement of gel implants in the subglandular position, everything else being equal, is known to be associated with capsular contracture. Many of us have moved away from using textured surface breast implants because their claimed ability to prevent contracture has not materialized while their greater rippling and higher deflation rate have been widely seen. Subpectoral smooth walled implants with a minimal capsulectomy IS the answer. Good Luck!

Peter A. Aldea, MD
Memphis Plastic Surgeon

There are no advantages to textured breast implants

Hi. 1) Your research is correct. Textured breast implants have more problems (more frequent rippling, for example), and they do not prevent capsular contracture. We do not use them. 2) Capsular contracture after breast augmentation in New York City is largely avoided by preventing sub clinical infection ( no touch technique, intravenous antibiotics, irrigating wounds with antibiotic solution) and by preventing even a tiny hematoma ( absolute stopping of all bleeding during surgery). A... more