Are textured implants not approved in the US?

Question

I heard textures implants are banned in the US, but why are textured tear drop shaped implants still available ?

Casey Anderson, MD, FACS · Answer

Some of the textured implant manufacturers have removed their textured implants from the market. The issues have been more focused towards specific brands.

John LoMonaco, MD, FACS · Answer

Only implants made by Allergan were linked to a rare form of cancer, and these were recalled.  Mentor still has a variety of textured implants available for use.

Ronald J. Edelson, MD · Answer

Although I am not sure about their availability ( because I don't use them) you should go for smooth implants. The texturing dies no good and is linked to a certain type of cancer. Teardrop shaped implants always have problems as well. So whether available or not I advise against them

Daniel Barrett, MD · Answer

Dear Phenomenal226998,
breast implant type and sizing selection is a complicated process and requires a detailed consultation that includes a discussion of your goals, a detailed examination, and a lengthy discussion. But the decision will always start and end with the patient. When it comes to sizing, we have all of our patients find 3 photos of their desired breast size. We ask for naked breast photos because clothing can obscure the true size (push up bras). Next, we consult with patients and go over the photos and take detailed breast measurements during a physical exam. Next, we using a sizing algorithm to determine a range of implants that will work based on the exam and the measurements.Lastly, during the operation, we use silicone sizers in the operating room to see how the size actually looks in the breast. We sit the patient up in the operating room, while asleep of course, and compare the sizer result with their desired look photos. If it is too small, we start the process over with a slightly larger implant. We don't stop until we get the perfect match.Of all of my breast augmentation patients, every one of them has been happy with their size due to this detailed and meticulous process. You don't want to invest time and money into a result that is either too big or too small.You should discuss your concerns with a board-certified plastic surgeon and make sure that your surgeon understands your goals.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Connie Hiers, MD, FACS · Answer

Not all textured implants are banned in the US, and anatomical implants, shaped implants, are still available.

Kevin Tehrani, MD, FACS · Answer

Thank you for your question, there may be a misconception as Allergan one of the manufacturers of textured implants recalled all of their textured implants. Other two companies namely Mentor and Sientra continue making their textured implants in both shaped and round varieties.

Jose A. Munoz, MD - Account Suspended · Answer

Hi and welcome to our forum!A recall of BIOCEL textured breast implants and tissue expanders was ordered by the FDA on 7/24/2019 after Medical Device Reports revealed an increased incidence of breast implant-associated anaplastic large cell lymphoma, which appears to be related to the presence of a high surface area textured implant. The incidence is quite small with only 10 patients per year diagnosed with the condition. Patients with these implants are to notify their healthcare provider if there is pain or swelling near the implant or if there are any changes in breast appearance. Otherwise, removal is not recommended. Other branded textured implants are still available. Best wishes...

Are textured implants not approved in the US?

Answers (7)

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