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Published on: July 1, 2013
A Comparison of Textured versus Smooth-Surfaced Implants in Subfascial Breast Augmentation
1From private practice.
Background:
Subfascial placement of breast implants has the advantages of subglandular and submuscular placement without the adverse outcomes. This study examined the differences in outcomes between textured and smooth implants.
Methods:
A total of 385 patients underwent subfascial breast augmentation in 2 cohorts. The initial series ( n = 209) used textured implants and the second ( n = 176) used smooth implants. In all other respects, patient management was identical. Adverse outcomes, changes in breast morphometry, and patient satisfaction were compared between the 2 groups.
Results:
The follow-up period ranged from to 74 to 272 weeks for smooth implants (mean ± SD, 164 ± 50.6 weeks) and from 78 to 279 weeks for textured implants (mean ± SD, 186 ± 54 weeks). The incidence of capsular contracture was the same for smooth and textured implants (4.7% and 6.2%; P = 0.64). Changes in breast shape at the lower pole, patient satisfaction, and the incidence of other adverse outcomes were the same in both groups.
Conclusion:
Subfascial placement of smooth and textured breast implants yielded similar outcomes.
Clinical Question/Level Of Evidence:
Therapeutic, III.
