Can textured implants help to prevent capsular contracture?
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Doctor Answers 19
Will textured implants prevent capsular contracture?
An in-person exam with a board-certified plastic surgeon is the best way to assess your needs and provide true medical advice.
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Textured implants for CC
There are many studies which tried to evaluate the efficacy of texture in the prevention of CC. Most of them suggested a slightly lower incidence of CC in the subglandular plane. In the submuscular plane, the results are less convincing. Is the evidence firm, nope.
Certainly we saw more rippling with textured saline implants. If the implants adhered to the tissue adjacent to it, the fluid wave would be transmitted to the skin. Happens much less with gel implants than with saline. Recent studies with highly cohesive gel implants (gummy bears) show a reduced incidence of CC compared to smooth implants. Interesting findings, but since gummy bears are firmer than smooth gel implants, perhaps we're missing the true incidence of mild CC.
So, what should a patient do? read what you can, but with a critical eye. Don't believe everything that you hear. Talk to several plastic surgeons. We all have differing opinions about lots of issues
I generally don't use textured implants anymore.
In most cases when I have been back to revise someone's implants and find that they were textured, I find that they are not adherent to the capsule at all. So I don't think that they work and they may have significant negative effects.
The only time that I would use textured implant is if I were using an anatomically shaped implant since one has to maintain implant in a specific orientation. I would choose smooth round implants.
Textured implants and Capsular Contracture
Textured Implants Decrease CC in Most Instances.
Textured shaped implants had a decreased rate of capsular contracture when compared to round smooth gel implants in Mentor's 10 year study.
Textured implants had a similar rate of capsular contracture in studies in the sub muscular position.
Textured implants when used in the round format, have a tenfold chance of wrinkling.
Therefore, the secret to success may be to use textured implants in the shaped form rather than the round form, and/or use smooth round implants in the Submuscular position.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.