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Dr. Linder's Blog

Breast Implant Surface, Smooth or Textured

Posted On: March 12, 2009 Author: The Office of Dr. Stuart Linder Posted In: Breast Implants

Beverly Hills breast augmentation specialist, Dr. Linder, prefers smooth breast implants. Textured breast implants have been the mainstay of implants back in the 60’s, 70’s and 80’s. Textured implants have been shown to reduce capsular contracture scar tissue formation when implants are placed above the muscle subglandular or retromammary.

breast_aug12However, textured implants are no longer in vogue. In fact, textured breast implants have a higher rate of rupture and crack over time. What happens is the textured coating of the implant will fibrously adhere to the breast tissue and just like a credit card that you twist over and over, will crack over time. Smooth breast implants obviously cannot adhere to the tissue in a Velcro-like fashion and therefore smooth implants don’t normally crack along the implant edges.

breast_aug0001Textured implants also can cause increased visibility and rippling, especially when placed above the muscle. These implants stick to the tissue like Velcro, fibrously adhere, and therefore grow into the tissue and form ripples and visibility, especially along the lateral breast. As a result, textured implants in Dr. Linder’s practice are no longer used, only smooth saline and smooth silicone high profile gels are his preference. Smooth implants under the muscle do not have a significant increase capsular rate than textured. However, smooth implants again do not adhere and do not have the same problems that the textured implants have with failure, cracking, rupture, as well as malposition.

Textured implants often can cause double-bubble deformities or implant malposition because the implants may stick in an improper position. This can be seen with the anatomical style 468, previously used McGhan style 468 implants that Dr. Linder used 10 years ago. He no longer favors these implants because once again, rotational deformity can occur with the textured implants, with especially an anatomical and these implants can then stick in the wrong position and have an absolutely bizarre shape and disfigurement to the breast.

Smooth breast implant surfaces are preferred in the year 2009 in all of Dr. Linder’s Beverly Hills breast augmentation patients.