The best way to answer that question as you look at the implants, okay. So at first you gotta understand what texturing means. This is a textured implant and this is a smooth implant. Sientra make both. The Sientra textured implant is somewhat different than the smooth implant. The smooth implant, your body creates a capsule around it. The implant glides within the capsule and is somewhat separate from your breast.

With a textured implant, what happens is your body will actually grow into the little tiny bumps on the implants. It kind of adheres. Your breast and the implant adhere together and they move together as one unit. The only way to separate them is almost like separating Velcro when you peel it off. So they're all integrated together. That's when Silimed says they have a proprietary texturing, that's what they're talking about is it allows this tissue to grow into that textured implant.

Now the texturing on the Sientra implant, which Sientra is the distributor for Silimed which is the brand of the implant, is a moderate texturing sort of [inaudible] different grades of texturing. There's very fine texturing, which is mostly found on Mentors ultra fine implants, and then there's rougher texturing which you can find on Allergan's Biocell texturing. There are different grades of texturing.

The nice thing about this moderate texturing is it's just enough texturing to allow adhesion. It helps decrease capsular contracture, but it's not too much texturing. Too much texturing can cause issues of double capsule formation. The fluid forms around the implant. Too little texturing almost acts just as much like a smooth implant. This is quite a nice balance in terms of the amount of texturing on this implant that Silimed provides.

The other major advantage of textured implants is it does help decreased the capsular contracture. The theory is that the collagen fibers are oriented in many different directions on this bumpy implant, so they can't contract in unison and create a capsular contracture as easily as they can with the smooth implant where they're all oriented in one direction. That's the reason why there's another advantage to texturing.

The Silimed and Sientra warranty is actually one of the best warranties on the market partly because of that reason. There's actually warranty against capsular contracture, which no other company I've ever met has done that. They give you a two-year warranty that you will not a get a capsular contracture after this implant, otherwise they replace the implant for you.

Hopefully that answers your question about texturing and why Sientra has a proprietary texturing and what that all means. If you have any more questions, I can answer them any time.

How Are Textured Breast Implants Different?

Dr. Sanjeev Kaila explains the difference between smooth and textured implants: the difference in movement within the breast, the healing process, and a quick run-through of the brands.