Are textured implants as safe as smooth implants?

Question

Just came from a consultation with a doctor I really liked. He was friendly, answered all of my questions, showed me before and after photos and allowed me to try on different implants. Since I have some sagging yet do not want a lift he recommended mentor textured round implants. I liked these a lot. But I read on google that textured implants are linked to breast cancer. Is this true? Are textured implants just as safe as smooth implants? Thank you so much for your responses.

Emmanuel De La Cruz, MD · Answer

Both textured and smooth breast implants have been used in breast augmentation surgeries, and both types have been considered safe for use. However, it's important to note that safety considerations, including the potential risk of complications, can vary based on individual factors, surgical techniques, and implant characteristics.

Here are some key points regarding textured and smooth breast implants:

Textured Implants:

Textured implants were designed to reduce the risk of capsular contracture, a condition where scar tissue forms around the implant, potentially causing firmness or distortion.
The texturing is thought to help prevent the implant from moving within the breast pocket.
Some studies have suggested an association between textured implants and a rare form of cancer called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). However, this risk is considered to be extremely low, and textured implants remain in use.
Smooth Implants:

Smooth implants have a smooth outer surface.
They are generally associated with a lower risk of certain complications, such as rippling or palpability of the implant.
Some surgeons prefer smooth implants for their ease of insertion and mobility within the breast pocket.
Considerations:

The choice between textured and smooth implants often depends on factors such as the patient's anatomy, surgeon preference, and the specific goals of the surgery.
Patient preferences, the desired outcome, and potential risks should be discussed thoroughly during the consultation with a qualified plastic surgeon.
FDA Recommendations:

The U.S. Food and Drug Administration (FDA) monitors the safety of breast implants and provides updates based on ongoing research.
As of my last knowledge update in January 2022, the FDA has made recommendations regarding breast implant safety, including discussions of the risks associated with both textured and smooth implants.
It's crucial for individuals considering breast augmentation or reconstruction to consult with a board-certified plastic surgeon. A surgeon can provide detailed information about the benefits and potential risks associated with both textured and smooth implants, taking into account the patient's unique circumstances and preferences. Regular follow-up appointments and ongoing communication with healthcare providers are important for monitoring long-term breast implant safety.

Caner Kacmaz, MD · Answer

BIA-ALCL is a type of lymphoma that can develop around breast implants. BIA-ALCL occurs in patients who have breast implants with textured surfaces. This is a cancer of the immune system, not breast cancer. With that said, your chances of developing this type of cancer is extremely rare, approximately 1 in 300000 people

John L. Burns Jr., MD · Answer

Textured implants can cause a very rare cancer in the implant capsule called ALCL.  The incidence is exceedingly rare but for this reasons most surgeons will use a smooth implants to avoid any risk.

Camille Cash, MD · Answer

Textured implants have been associated with BIA-ALCL, a type of cancer.  The risk is very low.  The same risk has not been shown in smooth implants.  There are pros and cons to different types of implants.  It's a good idea to educate yourself so that you can make an informed decision.

Gary M. Horndeski, MD · Answer

Textured implants have been shown to cause BIA-ALCL.  This has never occurred with smooth implants.  For this reason, a majority of physicians have stopped using textured implants.  Also, if you need a lift, I recommend The Bellesoma Method.  This will reshape your breast tissue creating upper pole fullness without implants, elevate them higher on the chest wall and more medial to increase your cleavage.  Vertical scars are avoided, nipple sensation (in 95%) and the ability to breast feed are maintained.

Best Wishes,

Gary Horndeski, M.D.

Are textured implants as safe as smooth implants?

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Are textured implants as safe as smooth implants?

Answers (10)

Answer: Textured Implants

Answer: Textured Implants

Answer: Smooth implants

Answer: Smooth implants

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Recommended reading

Everything you need to know about Breast Implants

Our mission is to create a world where every investment in modern beauty is Worth It.