I have had two consults for breast augmentation one sergeon recommended textured round implants submusclar, the othe smooth round implants dual plane not sure which will be the better option for me . I am a fitness professional so thinking the textured implant would be better, but unsure.
October 23, 2018
Answer: Smooth or textured breast implants Hi and thanks for the question. There is no real difference between dual plane and sub muscular breast augmentation and as you don't appear to have much sagging (ptosis) the degree of dual plane dissection you would need is minimal. Smooth and textured implants will produce an identical early cosmetic result for the same volume and dimension implants. However, there are differences in them in the long term and in how some advise they be "looked after". Smooth implants are not usually placed in a precise pocket so they are supposed to move around. Patients are often advised to massage the breasts to keep the pocket large and the capsule soft and pliable. Textured implants should not be massaged. Since the smooth implants move around more just like natural breast tissue, the breasts tend to feel softer and more natural than textured implant breasts. Unfortunately over time this can result in the implants sliding out over the outside of the chest when you lie down (lateral drift) and to drop into the lower pole of the breast whenever you stand (bottom out). Smooth implants will also tend to animate more (change the breast shape with muscle contraction) so if you are in the gym a lot, they may not be for you. Textured implants tend to maintain their position and shape a little better over time but the can feel less natural, especially when there is not much tissue covering them. Recent evidence suggests a higher (but extremely low) risk of developing breast implant associated anaplastic large cell lymphoma with textured implants. Your surgeons should have discussed this with you. Good luck Dr Mark Hanikeri MBBS, FRACS
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October 23, 2018
Answer: Smooth or textured breast implants Hi and thanks for the question. There is no real difference between dual plane and sub muscular breast augmentation and as you don't appear to have much sagging (ptosis) the degree of dual plane dissection you would need is minimal. Smooth and textured implants will produce an identical early cosmetic result for the same volume and dimension implants. However, there are differences in them in the long term and in how some advise they be "looked after". Smooth implants are not usually placed in a precise pocket so they are supposed to move around. Patients are often advised to massage the breasts to keep the pocket large and the capsule soft and pliable. Textured implants should not be massaged. Since the smooth implants move around more just like natural breast tissue, the breasts tend to feel softer and more natural than textured implant breasts. Unfortunately over time this can result in the implants sliding out over the outside of the chest when you lie down (lateral drift) and to drop into the lower pole of the breast whenever you stand (bottom out). Smooth implants will also tend to animate more (change the breast shape with muscle contraction) so if you are in the gym a lot, they may not be for you. Textured implants tend to maintain their position and shape a little better over time but the can feel less natural, especially when there is not much tissue covering them. Recent evidence suggests a higher (but extremely low) risk of developing breast implant associated anaplastic large cell lymphoma with textured implants. Your surgeons should have discussed this with you. Good luck Dr Mark Hanikeri MBBS, FRACS
Helpful
July 26, 2017
Answer: Smooth versus textured implants Thanks for your question! In general there are smooth and textured implants which can be both round and shaped. A textured implant stays where it is no matter what you're doing, while a smooth implant can move around much like a normal breast so it looks and feels more natural. For that reason most patients and surgeons prefer a smooth implant.
Helpful
July 26, 2017
Answer: Smooth versus textured implants Thanks for your question! In general there are smooth and textured implants which can be both round and shaped. A textured implant stays where it is no matter what you're doing, while a smooth implant can move around much like a normal breast so it looks and feels more natural. For that reason most patients and surgeons prefer a smooth implant.
Helpful