Textured Unders + Massages- Will This Prevent Capsular Contracture?

Hello, been looking around here but I do not seem to find a proper answer to my relatively simple question. >>Does massage /manipulation help against CC when having TEXTURED sylicone implants? (under the muscle) . Is it necessary or can it even considered a waste of time? <<. Thank you so much , C

Doctor Answers (7)

Capsular Contracture



Textured implants have only shown a small benefit in reduction of capsular contracture when placed over the muscle compared to smooth implants in the same position. Submuscularly placed implants enjoy a lower rate of contracture compared to any implant over the muscle, and textured implants do not reduce that rate further, so therefore texturization is not necessary.

Massage has never shown to prevent or treat capsular contracture, yet many surgeons still tell their patients it is important.

Reduction of capsular contracture and all known complications of breast augmentation begins with your choice of surgeons.  Surgeons who adhere to an anatomic based sizing system will give you the most appropriately sized implant for your body, minimizing complications associated with inappropriately sized implants. Meticulous electrocautery surgery that minimizes collateral injury to tissues will further reduce risk. Finally, a no touch technique of implant placement utilizing a purpose built funnel, will minimize inadvertant implant contamination from skin and or milk duct flora.

Secondary gains from these techniques are minimal pain which is controlled by Motrin, the ability to move your arms overhead the night of your surgery, absence of bruising, and returning to all normal daily activities in 24 to 48 hours for a majority of patients.

Best of luck!


Web reference: http://www.drminniti.com

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 23 reviews

Textured implants were designed to go over the muscle and not be massaged.


The idea behind using textured implants is that the tissue adheres to the textured surface of the implant. Massaging will disrupt this process.

If the implant is placed under the muscle then it should have a smooth surface, in this case massaging will interrupt the growth of the capsule around the implant. Some doctors recommend laying on your stomach and chest as a way to further move the implant around and help avoid capsular contracture.

Vitamin E has also been advised by some doctors as it is thought to soften the collagen in the new tissue growth although there is no empirical evidence to support this. It should not be taken prior to surgery or immediately after as it thins the blood.

Studies have shown that when placing the implant under the muscle there is very little difference between textured and smooth in the rate of CC.

Jacksonville Plastic Surgeon
4.5 out of 5 stars 11 reviews

"Massage" is NOT recommended for textured implants!


This is a simple question that is commonly asked. Textured implants are designed to "adhere" to tissues much as Velcro does. Most textured implants are used above the muscle, as they were designed to isolate possible bacterial contamination from ductal bacteria, as well as to "break up" the linearity of collagen bundles (the scar capsule your body forms around every foreign body--your implants), decreasing contracture. Smooth implants induce a smooth capsule, which more easily contracts. Textured implants (above the muscle) do reduce the incidence of capsular contracture over smooth implants above the muscle. BUT, they are thicker, have more-readily-felt edges, and (if saline) have an increased likelihood for leak and deflation.

Under the muscle implants became common after the FDA restrictions on silicone gel implants, when use of saline implants above the muscle more commonly showed visible rippling, edges, and simply felt too "water-balloon-like." So most surgeons went below the muscle, decreasing the high, firm, round, "Baywatch" look, and coincidentally noting a lower capsular contracture rate.

But textured implants below the muscle make less sense, since there are much fewer disrupted breast ducts, and a bit of implant movement is much more natural compared to immobile, firm, "coconuts." Also, many textured implants are "shaped" or "anatomic" teardrop implants that need the texture to adhere and prevent malposition or rotation (imagine an upside-down teardrop implant).

"Massage" (more properly called implant movement exercise) is designed to keep the implant pocket larger than the implant, reducing the likelihood that even a bit of capsular contracture would result in a firm breast. If you "massage" a textured implant, it is not being allowed to adhere properly, and you could end up with a smooth healed pocket and an upside-down or sideways implant!

So, below the muscle placement should require smooth round implants. Textured implants are inappropriate for submuscular placement, IMHO. Though not true in every case, I suspect that use of textured implants below the muscle are the recommendation of surgeons who are not ABPS-certified, or those with less experience. Best wishes!

Web reference: http://www.mpsmn.com/breast-procedures/breast-augmentation/choosing-implants

Minneapolis Plastic Surgeon
5.0 out of 5 stars 90 reviews

Breast implant massage does it decrease capsular contracture?


I would not recommend implant massage with textured implants.  There is more opinion as to the benefit of massage than real knowledge.

Tyler Plastic Surgeon
5.0 out of 5 stars 2 reviews

Implant texture can reduce capsular contracture risk


We do know that capsular contracture can be reduced both by submuscular placement, and texture on the implant surface. A decade ago manufacturers developed all types of texturing from coarse to mild under such names as siltex. Texturing may have reduced implant life, and caused fluid or seromas for some, and currently seem out of favor. Massage for a textured implant is not recommended. Best of luck

Web reference: http://www.peterejohnsonmd.com

Chicago Plastic Surgeon
4.0 out of 5 stars 25 reviews

There is no miricle cure


Capsules happen no matter what type of implant and no matter where it is placed. It is a problem with the operation we have not found a cure for.

Web reference: http://www.wrmd.com

New York Plastic Surgeon
4.0 out of 5 stars 8 reviews

Textured implants and massage


Textured implants usually incorporate to the local soft tissues to presumably  decrease the risk of a capsule formation.  It usually is not recommended to massage them.

Manhattan Plastic Surgeon
4.5 out of 5 stars 14 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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