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Updated: Feb 23, 2026

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Do textured breast implants decrease the rate of capsular contracture compared to smooth implants?

Ignacio Cifuentes1, Bruno Dagnino2, Gabriel Rada3

  • 1Sección de Cirugía Plástica y Reconstructiva. División de Cirugía. Escuela de Medicina. Pontificia Universidad Católica de Chile, Santiago, Chile; Proyecto Epistemonikos; Magister epidemiología. Universidad de los Andes, Santiago, Chile.

Medwave
|September 2, 2017
PubMed
Summary
This summary is machine-generated.

Textured breast implants likely reduce capsular contracture risk but may increase the risk of anaplastic large cell lymphoma, a rare cancer. This finding impacts patient choices for breast augmentation and reconstruction.

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Area of Science:

  • Plastic Surgery
  • Biomaterials Science
  • Oncology

Background:

  • Breast implants are widely used for aesthetic and reconstructive surgery.
  • Implant surface characteristics, like texture, influence outcomes and complications.
  • Capsular contracture is a significant complication following breast implantation.

Purpose of the Study:

  • To evaluate the efficacy of textured breast implants in reducing capsular contracture.
  • To assess the association between textured breast implants and the risk of anaplastic large cell lymphoma.

Main Methods:

  • Systematic review and meta-analysis of 13 randomized trials.
  • Data extracted from Epistemonikos database, including MEDLINE, EMBASE, and Cochrane.
  • GRADE approach used for summary of findings.

Main Results:

  • Textured breast implants appear to decrease the incidence of capsular contracture.
  • A potential increased risk of anaplastic large cell lymphoma is associated with textured implants.

Conclusions:

  • Textured breast implants offer a probable benefit in reducing capsular contracture.
  • The potential association with anaplastic large cell lymphoma warrants careful consideration in patient counseling.