Sientra: Textured vs. Smooth?
Doctor Answers 16
Textured vs. smooth implants?
When silicone gel implants were used prior to the FDA restrictions of 1992, placement above the muscle was also the preferred implant position for many plastic surgeons. Texturing the surface of the silicone gel implant reduced the incidence of capsular contracture in this position (above the muscle and just below the breast tissue). However, after the 1992 FDA restriction on silicone gel implants and the switch to saline-filled implants, placement above the muscle led to unacceptable wrinkling that could sometimes be felt or seen. This led to most surgeons switching to placement of saline breast implants below the muscle to increase tissue coverage and reduce these concerns. Even placement of saline-filled implants below the muscle will not always eliminate implant wrinkles or ripples, particularly in thin patients and/or patients with very little overlying breast tissue. Since 2006, silicone gel implants are again available for elective breast augmentation, allowing patients to avoid the “water-balloon” feel and visible or palpable rippling seen in some saline implant patients.
Based on the choice of saline or silicone, textured or smooth, and the patient's unique body type, appropriate surgical placement will be determined. Many studies have confirmed lower capsular contracture rates with implant pockets below the muscle. However, using textured breast implants below the muscle can cause unnatural adherence to the chest and restricted natural movement of the breast, and is not recommended.
In addition, saline implants lack cohesive silicone gel to act as a lubricant inside the implant (saline is a poor lubricant), and can allow flexing and creasing of the textured implant shell surface with each movement or breath of the patient, ultimately leading to a higher risk of failure at one of the low spots in the textured surface, with leakage and deflation of the saline implant. The textured implant shell is also thicker and more palpable. Submuscular placement already reduces the incidence of capsular contracture, so smooth breast implants in this location are preferable to adherent textured-surface implants.
Smooth-shell silicone-gel-filled implants are homogeneous with breast tissue and provide the softest, most breast-like, and most natural “feel” of any implant. Since the newest generation of silicone gel implants is also cohesive, they cannot leak. While the vast majority of patients are again choosing submuscular silicone implants for their breast enhancement surgery, I believe that textured implants below the muscles offer no advantages, and possible disadvantages (plus they cost more and require a slightly longer incision).
Choose silicone, smooth, and realize that round implants are teardrop shaped when the woman is standing, and flatten and round out (like natural breasts do) when reclining, whereas textured teardrop-shaped implants REMAIN teardrop-shaped when reclining (decidedly unnatural). For more information, please click on the web reference link below. Best wishes! Dr. Tholen
Round vs smooth breast implants
Sientra Breast Implants Textured vs. Smooth
Sientra’s TRUE Texture™ implants were found to carry a significantly reduced risk of capsular contracture compared to its smooth implants, according to a study published in Plastic and Reconstructive Surgery. The analysis looked at more than five thousand implants over a five-year follow up process, providing a very robust set of data as a foundation for this finding. It is with this statistical confidence in the resilience of their textured implants against capsular contracture that Sientra introduces the C3 Program.
As with the implants themselves, Sientra’s C3 Program is only available through plastic surgeons certified by the American Board of Plastic Surgery. This is done to improve patient confidence even further — it ensures that surgical procedures using Sientra implants are only done by the most qualified doctors.
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Smooth vs. Textured Silicone Implants
Textured vs Smooth Implants
However, using textured implants to prevent migration of the implant may be beneficial in cases of a chest wall deformity (pigeon cheated individuals) or in cases where there is a risk of bottoming out.
Textured implants have a lower rate of capsular contracture as well.
Hope this helps. Best of luck.
Textured as Compared to Smooth Sientra Breast Implants
Textured Sientra breast implants have been shown on clinical research, to have a lower incidence of capsular contracture, the number one complication of breast implants. This is because they are designed to "Velcro" to your body and the resultant scar tends to softer and not contract. This also lends to creating a softer, more natural feeling implant.
I have added a video that addresses this question as well as a web reference that may help you.
I hope that helps.
Textured vs Smooth Implants
Textured or smooth
Sientra Breast Implants
Textured Sientra implants in the largest published study showed less capsular contractures. They may migrate less, also. Sientra uses a proprietary process to texture their implants.
Because of this Sientra is the only implant company who has a warrantee (C3)if you develop a capsule after receiving their textured implants. They have a special process which makes the texture. This implant shell is unavailable elsewhere. Sientra only sells to BC plastic surgeons (by ABPS - The American Board of Plastic Surgery) who are members of ASAPS (The American Society for Aesthetic Plastic Surgery) and or a member of ASPS (The American Society of Plastic Surgeons). All the best, "Dr. Joe"
Textured vs smooth
You have it right no real visual difference -especially initially. They will simply maintain position better for longer.
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