Complications in breast augmentation with textured versus smooth breast implants: a systematic review protocol

Breast augmentation is a widely performed cosmetic surgical procedure globally. Implants differ in several characteristics, including their surface texture. Two primary types exist: textured and smooth implants. While surgeons and patients may consider surface texture when choosing implants, the evidence comparing complication rates between these types remains unclear. Prior research has established that implant surface may influence certain surgical outcomes, but no comprehensive synthesis of this evidence has been published. This gap motivated the need for a systematic review to consolidate findings from existing studies. No prior work had resolved the question of how implant surface affects complication rates in aesthetic augmentation. The absence of a meta-analysis leaves uncertainty about the relative safety of these implant types. This uncertainty drives the current protocol. The review aims to clarify whether implant surface type influences the risk of specific complications.

The aim of this study is to systematically evaluate the complication rates associated with textured versus smooth breast implants used in aesthetic augmentation. The specific problem is the lack of a comprehensive synthesis of existing evidence comparing these implant types. The motivation is to provide plastic surgeons with a reliable summary of outcomes to guide clinical decisions. The review will focus on complications reported in studies of breast augmentation. It will include only studies that directly compare textured and smooth implants. The protocol outlines a rigorous search strategy to identify relevant literature. The review will assess the methodological quality of included studies to ensure reliable data synthesis. The ultimate goal is to inform clinical practice and patient counseling regarding implant selection.

The review will use a systematic approach to identify and analyze relevant studies. Databases such as PubMed, EMBASE, and Cochrane will be searched from their inception to October 2017. Only cohort studies, case series, case-control studies, and randomized controlled trials will be included. Two independent researchers will screen and select articles for inclusion. Data extraction will be performed using a standardized form. The primary and secondary outcomes will be defined in the protocol. Statistical analysis will be conducted using Review Manager V.5.3 from Cochrane. The methodological quality of included studies will be assessed to evaluate the reliability of findings.

The review will analyze secondary data from studies that compare textured and smooth implants in breast augmentation. The primary outcome will be the rate of specific complications such as capsular contracture, implant rupture, and infection. Secondary outcomes may include reoperation rates and patient satisfaction. The analysis will include a meta-analysis if sufficient data are available. The methodological quality of included studies will be evaluated to assess the strength of evidence. The results will be synthesized to provide a comprehensive overview of implant-related complications. The findings will be reported in a peer-reviewed journal and presented at conferences. The review will highlight whether implant surface type influences complication rates in aesthetic augmentation.

The conclusions of this review will be based on the findings from included studies. The authors propose that the review will clarify whether implant surface type influences the risk of specific complications. The synthesis of evidence may suggest differences in complication rates between textured and smooth implants. The results will be presented in a peer-reviewed publication and shared at conferences. The authors suggest that the findings could help surgeons make informed decisions about implant selection. The review will assess the quality of evidence to determine the reliability of conclusions. No prior work has resolved the question of how implant surface affects complication rates. The authors propose that this review will provide a valuable resource for clinical practice in aesthetic breast augmentation.