Breast Implant Surface- Smooth, Textured or Polyurethane? A Doctors Notes

Sep 9, 2011 by

A doctor in Australia that uses smooth, textured and polyurethane foam implants talked about the different types of implant shells (coating) on his website, please have a read of his website. My usual disclaimer- I do not know this doctor and do not endorse his work, but I find what he has to say regarding breast implant surface types very interesting.

His comments:

This issue of different coatings is controversial. Implant surfaces can be generally Smooth, Textured or Polyurethane. The reason for the invention of differing implant surfaces has been to create the “perfect” implant that has a low capsular contracture rate and yet feels soft and natural. No matter what the coating on the outside of the implants is, the inside material of all my implants are still silicone gel. The research in implant technology is ongoing and new advances are continuously emerging.

Generally speaking, textured or rough surface implants are said to reduce the rate of capsular hardening or contracture and have a lower rate of migration, but they are also known to create more wrinkling and rippling issues later on. This wrinkling is normally felt in the lower edge of the breast where the implant is closest to the skin surface. Smooth implants may give a smoother look and softer feel in many cases, particularly in thinner patients, but the downside is that the patient needs to massage the implants for 3 months to help prevent capsular hardening.

My recommendation is to use textured implants in the patients predisposed to capsulization and also for extremely fit athletic girls who may shift the implant pocket due to overexertion. Going forward poluyertahne implants are a viable alternative to textured implants.

Polyurethane coated implants from the manufacturer Silimed (Brazilian implant) are proving to be very effective in the prevention and treatment of capsular contracture. Currently I prefer to use these implants in selected primary cases and all revisional cases of capsular contracture. Please note that the Brazilian Implant also has silicone gel in the centre of the implant and has been TGA product approved for 2 years here in Australia.

The Furry Brazilian agrees with much of what this doctor says regarding the usage of polyurethane implants (also know as furry brazilians or brazilian implants) in fit and athletic women and to avoid capsular contracture. Polyurethane implants have significantly lower rates of capsular contracture and implant rotation or malposition when compared with smooth or textured implants.

The issue of implant wrinkling in textured implants seems to be on the rise- this could be due to implants sizes become larger and more anatomical and tear drop shaped textured implants being used- I did read in one report that smooth and polyurethane foam implants have a wrinkle rate around 7% while textured implants have a wrinkle rate of over 14%. It would make sense that a smooth implant might not wrinkle as it does not adhere to the “pocket” or capsule as well as a polyurethane or textured implant (hence the higher rate of capsular contracture), but it did surprise me that textured implants have a wrinkle rate that is double that of polyurethane foam implants.

It is always great to read an article written by a doctor in a discussion tone of voice- it does not sound as if he is simply endorsing one type of implant or one implant company, but more sharing information with the goal of patient awareness and assisting the patient with proper implant selection.

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