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A Threshold Technique Study to Understand Patient Preference for Smooth Versus Textured Breast Implants
Dallas Wood1,2, Peyton N Williams1, Jessica E Thompson1
1From the RTI International, Research Triangle Park, Durham, NC.
Plastic and Reconstructive Surgery. Global Open
|January 22, 2025
Summary
Patients accept higher breast implant-associated lymphoma risk for reduced capsular contracture and teardrop shape. This willingness varies across reconstruction and augmentation groups, highlighting patient preferences in implant choices.
Area of Science:
- Plastic Surgery
- Oncology
- Medical Device Research
Background:
- Breast implants feature smooth or textured surfaces.
- Textured implants carry a higher risk of breast implant-associated anaplastic large cell lymphoma (BIA-ALCL) but may reduce capsular contracture (CC).
Purpose of the Study:
- To quantify patient willingness to accept increased BIA-ALCL risk for potential benefits of textured implants.
- To assess how different patient cohorts perceive the risk-benefit trade-off of textured breast implants.
Main Methods:
- A threshold technique survey was administered to 405 participants across four distinct cohorts.
- Cohorts included patients considering or having undergone breast reconstruction, and individuals considering or having undergone breast augmentation.
Main Results:
- Respondents were willing to accept an average increase in BIA-ALCL risk ranging from 0.60% to 0.85% for textured implants.
- Willingness to accept higher BIA-ALCL risk was associated with the potential for reduced CC and the availability of a teardrop-shaped implant option.
Conclusions:
- Patient willingness to accept higher BIA-ALCL risk is linked to the perceived benefits of reduced CC and aesthetic options.
- Patient perspectives are crucial for informing regulatory decisions and clinical practices regarding breast implant choices.
