A Comparison of Textured versus Smooth-Surfaced Implants in Subfascial Breast Augmentation.

Abstract

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. 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. 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. Subfascial placement of smooth and textured breast implants yielded similar outcomes. Therapeutic, III.