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Why Do Textured Saline Implants Have a Shorter Lifespan Than Smooth Implants?

asked 1 year ago by Valeri8115 in SA Texas
Latest answer by Otto Joseph Placik, MD
Question viewed 380 times
Tags: breasts, female, saline implants, 600-649cc, smooth, textured

I have smooth saline implants, after major weightloss, i have a lot of loose skin. My doc put in 595cc in one, 600cc in the other. Within one month postsurgery, left one is soft, but ripply on the underside, right developed CC IV. Doc wants to replace both with textured, larger size, overfill both to keep from wrinkling and CC. I've read textured do not last as long as smooth, how much less do textured generally last than smooth, and why is that?

5 answers to Why Do Textured Saline Implants Have a Shorter Lifespan Than Smooth Implants?

+1

Why Do Textured Saline Implants Have a Shorter Lifespan Than Smooth Implants

Great question. The exact reason is unknown, However we do know that the number one cause for implant failure is called crease fold failure. It is thought that textured implants tend to have a greater tendency for folds to persist once they are formed.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Textured implants and lifespan

Interesting thought that textured may not last as long as smooth walled, but this has not been verified in the literature, although anecdotally I do find that textured seem to rupture  more often.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Textured saline implants have a shorter lifespan

In total agreement with Dr. Aldea's explanation. Easy concept to understand if something is fixed (textured implants) and can not rotate in position than the wrinkling cause the outer coating or shell of the implant to "fatigue" or rupture in micro cracks at first. While smooth non fixing implant surfaces rotate so there is much less shell fatigue. 
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Textured Saline Implants DO last less than Smooth Saline breast Implants

Regarding: "I've read textured do not last as long as smooth, how much less do textured generally last than smooth, and why is that?". All breast implants ripple. Silicone gel breast implants ripple less than Smooth saline implants which in turn ripple less than textured saline implants. The reason for the increased rippling of textured implants is related to their fixed, velcro like immobility in the breast pocket where they attach to the surrounding breast/muscle... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Textured vs Smooth Surface implants

Textured breast implants were developed about 15 years ago with the intention to reduce the chance of capsular  contracture. The thinking was that the textured surface would produce a micro-inflammatory reaction and that would prevent or lessen capsular contactrure. This was never proven to be true. Textured implants have not proven to offer any advantage in the prevention or lessening capsular contracture. Therefore most US plastic surgeons have aborted their use. Textured... more
John M. Anastasatos, MD

Beverly Hills Plastic Surgeon

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