For my elite athlete patients including triathlon and weight lifters I would recommend textured implants with maximum cohesivity (#SientraBreastImplants) if you have enough breast tissue for coverage. If not than smooth implants are recommended in my practice. I make sure to make the pocket size exactly to the dimentions of the implant to minimize movement.
What a great question. I have been lecturing studying that question and lecturing about it over the last three years. If you have adequate coverage then texture would be great as it provides stability to ur implants with less animation deformity w muscle movement. If you are too thin for texture I would opt for a sientra style 107 as it is a smooth round implant but with a more stable cohesive gel. That would be an excellent option as well.
I appreciate your question.
The most important question for you is going to be above or below the muscle given that you are an athlete.
They both have plusses and minuses. After that, the implant type may or may not make a difference depending on your body structure and what you want to achieve.
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.
best of luck!
Surgeons have different feelings on this and also made tailor a particular implant choice to a particular patient. In general, implants with smooth envelopes seem to be a bit softer and more natural than the heavier thicker walled textured implants. In my experience, textured implants are more likely to be palpable than smooth.
You're choosing a reasonable size for your implant. It's not huge. Placement should be sub muscular and beyond that, it doesn't matter! Silicone implants may hold up better over time than saline because they don't "piston" when you run. Smooth implants have a lower rupture rate than textured when looking at Mentor, but that may not hold true with other companies. I prefer a smooth moderate plus implant by Sientra because it is slightly overfilled. It's believed that the "overfill" will add longevity to the implant. Good luck!
smooth would be my choice. 350CC,s would make you a medium C starting from an A cup. textured are thicker and more easily felt. there is no real advantage to the textured from my point of view. if you are placing the implants under the muscle, you will be fine.
Thank you for your question. As you can see from the answers here, there is no correct answer. I think that things like your intended outcome, your starting breast size and your bodily dimensions are important factors to take into account when choosing an implant. I don't agree that you need a textured implant to have it stay in place during your activities. A breast implant pocket should be very precise and match the dimensions of the implant closely. So, even if you has a smooth implant it's position should be relatively stable. Good luck.
No implant is perfect. Smooth implants are generally preferred. In athlete subglandular placement should be preferred, if possible. However all above options are viable choices. You will have to make the final choice and decision.
Every surgeon is different. I prefer using smooth implants because they tend to move more naturally. Best to discuss with your surgeon.
For me, there is no question. I always use textured implants because there is good evidence that they reduce the risk of capsular contracture, even if the implant is sub muscular. In you, with your athletic endeavors, I would NEVER consider placing the implant below the muscle. Therefore, the textured implant is even more important. Use of an adequate inferior mammary incision, protecting the implant from contact with the skin, covering the nipple and soaking the implant in an antibiotic solution is also important. By the way, you need to consider that, if you are competitive such that swimming times are important, breast augmentation will slow your times. (If you or your surgeon are interested, the Journal of Plastic and Reconstructive Surgery Vol 71:P255, 1983 by myself and N. Levine)