In addition to the other decisions you will need to make before having breast augmentation surgery, you have a choice as to the texture of the implants.
A textured implant has a gritty texture that allows for the body’s tissue to grab it and hold it in place. Previously, it was hoped that texturing allowed for less scar tissue formation (capsular contracture) around the implant if it were placed above the muscle. Several studies have dispelled this theory. Textured implants are now almost entirely used with anatomic implants to reduce chances of rotating.
Round implants assume the proper breast shape regardless if they rotate or not. Therefore, a textured round implant is unnecessary. It is well understood that the single best thing to decrease the chance of capsular contracture is placing the implant under the muscle. Sub-muscular placement also improves the upper pole fullness and tapering of the contour of the breast. This type of placement, however, does increase post-operative discomfort in the short term and patients need several weeks for the breast implants to settle. These issues are mostly avoided with placing the implants above the muscle. Nevertheless, most plastic surgeons still place textured anatomic implants under the muscle due to the improved natural appearance and proven lower rate of scar tissue.
There are pros and cons to each implant type, and the decision about which type to use will need to be made with your plastic surgeon, given your individual needs and the surgeon’s advise.
Advanced Cosmetic & Plastic Surgery offers the newest and most sophisticated cosmetic surgery procedures for men and women, including breast augmentation, reduction or reconstruction, neck and face lifts, eyelid surgery, rhinoplasty (nose surgery), liposuction, abdominoplasty (tummy tuck), as well as Botox, Juvederm and other injectable fillers. All procedures are done by ASC surgeons Dr. David Goldenberg, Dr. Sohel Islam, Dr. Prashant Soni, and Dr. Julia Toto. ASC offices are located in the Fairfield County, CT towns of Danbury, New Milford, Norwalk, Ridgefield and Southbury.
- Dr. Prashant Soni