I am planning to exchange my smooth shell saline implants (550cc overfilled to 600cc) with Sientra HSC+ round textured implants. I'm specifically interested in how textured implants have the ability to better stay in place. Will I get the benefit of textured implants by reusing the same pocket?
Answer: Textured Implants I have used textured implants in patients who ave a stretch pocket, as I do think they "stick" better. The same pocket is usually used, and whether or not you keep the original capsule depends on it's condition and the decision making of your surgeon, so be sure and discuss that before your procedure.
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Answer: Textured Implants I have used textured implants in patients who ave a stretch pocket, as I do think they "stick" better. The same pocket is usually used, and whether or not you keep the original capsule depends on it's condition and the decision making of your surgeon, so be sure and discuss that before your procedure.
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April 15, 2020
Answer: Textured implants will not prevent migration of heavy implants There is no benefit of taking out smooth implants and replacing with textured implants in the same pocket. You need a new pocket. Many plastic surgeons have stopped using textured implants because of BIA-ALCL. If you concern is migration of the breast downward then you need to consider an alternative such as a lift or smaller implants. Unfortunately, you have not provided photographs or told us your bra size. However, 600 cc implants are very heavy, weigh over 1 lb each and usually result in descent that will not be stopped by textured implants.Best Wishes,Gary Horndeski, M.D.
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April 15, 2020
Answer: Textured implants will not prevent migration of heavy implants There is no benefit of taking out smooth implants and replacing with textured implants in the same pocket. You need a new pocket. Many plastic surgeons have stopped using textured implants because of BIA-ALCL. If you concern is migration of the breast downward then you need to consider an alternative such as a lift or smaller implants. Unfortunately, you have not provided photographs or told us your bra size. However, 600 cc implants are very heavy, weigh over 1 lb each and usually result in descent that will not be stopped by textured implants.Best Wishes,Gary Horndeski, M.D.
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April 15, 2020
Answer: Implant exchange Dear r_andrea,
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April 15, 2020
Answer: Implant exchange Dear r_andrea,
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Answer: Switching from smooth to textured implants Hi and thank you for the question. I don't think this plan is going to help you for two reasons. First, the texture on the Sientra and Mentor implants isn't very aggressive. So it doesn't allow those implants to stick as well to the capsule. The Allergan texture was the most aggressive, but it causes ALCL in a small percentage of patient and is no longer used. The other issue is the implant size. A 600 cc implant weighs about 1.5 pounds. That weight combined with minimally textured devices doesn't do much for implant position stability. All that being said, there is nothing at all wrong with switching from smooth to textured. If you go through with it, I would remove the existing capsule - if you just place a textured device into a mature capsule it will not stick. Best of luck to you.
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Answer: Switching from smooth to textured implants Hi and thank you for the question. I don't think this plan is going to help you for two reasons. First, the texture on the Sientra and Mentor implants isn't very aggressive. So it doesn't allow those implants to stick as well to the capsule. The Allergan texture was the most aggressive, but it causes ALCL in a small percentage of patient and is no longer used. The other issue is the implant size. A 600 cc implant weighs about 1.5 pounds. That weight combined with minimally textured devices doesn't do much for implant position stability. All that being said, there is nothing at all wrong with switching from smooth to textured. If you go through with it, I would remove the existing capsule - if you just place a textured device into a mature capsule it will not stick. Best of luck to you.
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April 15, 2020
Answer: Textured implants are a potential problem I would obtain a second opinion. Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) has been associated with textured breast implants. This is a very rare cancer that develops from a type of White Blood Cell (lymphocyte). It starts in the implant capsule and can spread throughout the body. Treatment is surgery + - chemotherapy and some people have died from it.The implants implicated were manufactured by Allergan, and have been removed from the marketplace. The implants you have mentioned are made by Sientra, not Allergan, but I personally would not place ANY textured implants at this time. The potential risk is just too high.Remove and replace procedures are common, especially swapping from saline to smooth silicone gel. The same incision can usually be used and all the stretching and pulling of tissues that occurred from the first procedure has already happened. It is an outpatient procedure with a quick recovery. Always consult with a Board Certified Plastic Surgeon who performs these procedures frequently to assure the best possible result.Good Luck!
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April 15, 2020
Answer: Textured implants are a potential problem I would obtain a second opinion. Breast Implant Associated Anaplastic Large Cell Lymphoma (BIA-ALCL) has been associated with textured breast implants. This is a very rare cancer that develops from a type of White Blood Cell (lymphocyte). It starts in the implant capsule and can spread throughout the body. Treatment is surgery + - chemotherapy and some people have died from it.The implants implicated were manufactured by Allergan, and have been removed from the marketplace. The implants you have mentioned are made by Sientra, not Allergan, but I personally would not place ANY textured implants at this time. The potential risk is just too high.Remove and replace procedures are common, especially swapping from saline to smooth silicone gel. The same incision can usually be used and all the stretching and pulling of tissues that occurred from the first procedure has already happened. It is an outpatient procedure with a quick recovery. Always consult with a Board Certified Plastic Surgeon who performs these procedures frequently to assure the best possible result.Good Luck!
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