No, textured implants do not cause loss

David Lawrence Kaufman, 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.

David L. Kaufman, MD
13 months ago
By David L. Kaufman, MD - Sacramento Plastic Surgeon

Even though there is some adherence of the tissues to textured surfaces, there is a cleavage plane between the implants and you that is easy to develop. If you've developed a thickening (capsule) of that surrounding layer, you may benefit from a partial or complete capsulectomy. But that discussion largely depends on the condition of the tissues around your implant.

The short answer though is that you will not loose any substantial amount of tissue with removal of textured implants, and if it is appropriate, you don't need to loose any.

Good luck and I hope this helps,

Dr. Kaufman

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