Textured or smooth implants? (Photo)

thanks for your question - this is a really difficult conundrum for you. As a woman in the uk you have approx a 1:8 risk of standard breast cancer whether or not you have breast implants. BIA-ALCL with textured implants is 1:3,000-50,000 depending on which manufacturer - i think Mentor textured implants have lowest reported rates which were calculated at 1:51,000 by researchers in 2021 - Whilst it is important for you to understand this risk from textured implants, it is a risk that is so much smaller than one that you already have. To put this in another context, approx 1700 people die in road accidents annually in uk out of a population of 67 million - therefore your annual risk of dying on the road is approx 1:40,000 so if you us the road for walking, cycling or driving like most of us do, this is more dangerous than having textured mentor breast implants!

Dear Holhol97,
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, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery