However, some women may consider this enough of a reason for concern to avoid textured implants and choose smooth implants instead. The advice of a trusted expert is very helpful to women as they decide which options would be best for them.
Sjarif is a highly trained and skilled plastic surgeon serving patients in the greater Sydney area. Having performed this procedure many times on different women, he can give you a realistic sense of what options would work best for your body.
Please contact our office to book your appointment. Call us to schedule a Cosmetic Consultation. Sydney 02 Wollongong 02 Textured vs smooth implants: how can you choose? Breast implants Sydney Breast augmentation is a very personalized procedure, with many different decisions to make as you plan your procedure. Shape of the implant The surface of a textured implant is designed to be a little bit rough, much like sandpaper. Response to gravity A smooth round implant responds to gravity much like a natural breast does.
Those who regularly perform in front of others, including dancers, fitness instructors, and the like, may prefer smooth implants for this reason Firmness Textured implant shells are a little firmer than those of smooth implants, so some people believe that they feel a little less natural.
Movement over time A textured implant may be less likely to move over time than a smooth one. Upper pole fullness The shape of a smooth implant is always round, because the implant may rotate within the breast pocket. Possible concerns about textured implants Recently, there have been some reports that suggest that textured implants are linked to an extremely rare form of cancer known as anaplastic large cell lymphoma, or ALCL.
What happens when a breast implant ruptures depends on the type of implant it is. Both silicone and saline breast implants have a tough, silicone outer shell. With saline implants that shell is filled with saltwater solution saline. If the implant ruptures the saline is gradually absorbed by your body.
With silicone implants the shell is filled with a thick silicone gel called cohesive gel. In the newer gummy bear implants the gel is so thick that it stays within the implant, even if the shell cracks. Want to see an implant rupture in action?
Head on over to my Youtube channel where I ruptured both a silicone and a saline breast implant to show you what happens. In the older generation silicone implants the silicone gel filling the implant was much thinner- about the consistency of honey.
The rate of breast implant rupture varies by the brand of implant as well as whether the implant is above or below the muscle. The rate of rupture also increases over time. So after 10 years, 1 in 10 women will have a ruptured implant. Silicone gel implants are a bit trickier. Because the silicone gel is so thick, it may stay contained within the breast capsule called an intracapsular rupture. If this happens, you may have no idea that the implant has ruptured.
But because they do sometimes occur, the FDA recommends a screening MRI every two years beginning three years after the implant was placed. Implants may change in appearance or in the way they feel if they rupture. If this happens, your plastic surgeon will likely order an ultrasound or MRI to confirm the rupture.
Capsular contracture is the other reason a breast implant might need to be replaced. If the scar tissue becomes too thick, this makes the implant firm and possibly painful, a condition known as capsular contracture. The actual incidence of capsular contracture is difficult to estimate, because it varies between implant types, whether the implant is above or below the muscle, and whether the implant was placed for cosmetic augmentation or breast reconstruction.
An implant could be slightly firm but still look great, or it could be rock hard, distorted, and painful. Capsular contracture is treated by removing the implants and the scar tissue around them. If new implants are placed, I move them to a new pocket above the muscle if they were originally under the muscle, or vice versa. I will also treat capsular contracture with medications.
In early cases this can nip the inflammatory process in the bud, preventing more scar tissue from forming. If given after surgery, medications such as Singulair can help prevent the capsular contracture from recurring. There are no studies in which doctors leave ruptured breast implants in place simply to see what happens. With a ruptured implant I do recommend removal of the implant, whether it is silicone or saline.
If a ruptured silicone implant is left in place, the silicone could cause inflammation that results in pain or the development of scar tissue i. So, the older your implants are, the greater your risk of rupture or other complications.
In many cases, breast implants can remain in good shape for 20 years or more. Every patient is different, and the life of your implants will depend on your body and how you take care of your implants. There are several different complications that can affect how long breast implants last and when you need to replace your implants. These can include:. You have a few options for breast implant removal. You and your plastic surgeon can decide on simply removing the implants, removing the implants while also performing a breast lift, removing the implants and hardened scar tissue that has formed or an implant replacement with or without a breast lift.
Your plastic surgeon will discuss your options based on your goals, anatomy, and existing breast implants in order to help you choose what will work best for your desired results. Proper care for your breast implants can help to improve their longevity, and this care begins during your breast augmentation recovery.
For example, your plastic surgeon will advise you to wear a support garment or surgical bra during recovery. If you do not follow these guidelines, the lack of support can lead to increased sagging over time.
You should always follow your plastic surgeon's guidelines for annual checkups, as well as performing regular self-checks. If you have silicone implants, the FDA recommends getting an MRI three years after the initial surgery and then every two years after that. Taking proper care of your implants can help you extend the life of your new look and give you more time before you are likely to require breast implant replacement.
The views expressed in this blog are those of the author and do not necessarily reflect the opinions of the American Society of Plastic Surgeons. Get started today! Create an Account. Choose a board-certified plastic surgeon and be confident you are in the care of a highly trained surgeon you can trust. American Society of Plastic Surgeons. Community Home ask a surgeon patient community. Ask a Surgeon.
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