Safest textured implants

[arahia 34]

Hi everyone ❤️

So ive been stressing a bit over bia alcl as I have furry Brazilians which are very textured but does anyone have any idea what the lowest and safest textured implants are? I’ve been doing a bit of research and it seems the siltex brand are low textured???

im thinking about getting mine removed and replaced but I still want textured coz of low cc rate and less of a chance of bottoming out although I haven’t had any problems whatsoever, just a bit worried

thanks everyone ?

[Cupcake85 484]

Hi and I hope you are still active. I haven’t been on the forum as often as I used to be so don’t always see things.

I had a revision recently and I have Allergan/Natrelle micro textured rounds. The micro textured have not been linked to breast implant associated large cell lymphoma whereas the macro textured (which is what I previously had) have been linked.

Not only do smooth implants have a higher risk of bottoming out there is a higher rate of capsular contracture also. I originally wanted to replace with smooth implants however I trust my plastic surgeon.

[arahia 34]

15 hours ago, Cupcake85 said:

Hi and I hope you are still active. I haven’t been on the forum as often as I used to be so don’t always see things.

I had a revision recently and I have Allergan/Natrelle micro textured rounds. The micro textured have not been linked to breast implant associated large cell lymphoma whereas the macro textured (which is what I previously had) have been linked.

Not only do smooth implants have a higher risk of bottoming out there is a higher rate of capsular contracture also. I originally wanted to replace with smooth implants however I trust my plastic surgeon.

Thank you so much for replying, this is exactly what I thought , I don’t want to go completely smooth coz of those risks too , micro textured might be just what I’m looking for x

[Moderator 511]

On 9/28/2019 at 7:12 AM, Cupcake85 said:

Hi and I hope you are still active. I haven’t been on the forum as often as I used to be so don’t always see things.

I had a revision recently and I have Allergan/Natrelle micro textured rounds. The micro textured have not been linked to breast implant associated large cell lymphoma whereas the macro textured (which is what I previously had) have been linked.

Not only do smooth implants have a higher risk of bottoming out there is a higher rate of capsular contracture also. I originally wanted to replace with smooth implants however I trust my plastic surgeon.

Cupcake this is incorrect. ALL textured implants are linked to ALCL - there has been no reported cases of ALCL with smooth implants.

The risk for macro textured implants is significantly higher than micro textured implants though. The numbers keep changing but it is roughly 1: 4000 compared to 1:60,000 for micro textured (https://plasticsurgery.org.au/protecting-patient-safety/bia-alcl/)

Ive also seen numbers such as 1:2000 for macro and 1:86000 for macro - i think there is issues with the statistics because of the different brands - you can find more info on the TGA website

https://www.tga.gov.au/breast-implant-associated-cancer-or-bia-alcl

https://www.tga.gov.au/alert/breast-implants-and-anaplastic-large-cell-lymphoma

[Cupcake85 484]

1 hour ago, Moderator said:

Cupcake this is incorrect. ALL textured implants are linked to ALCL - there has been no reported cases of ALCL with smooth implants.

The risk for macro textured implants is significantly higher than micro textured implants though. The numbers keep changing but it is roughly 1: 4000 compared to 1:60,000 for micro textured (https://plasticsurgery.org.au/protecting-patient-safety/bia-alcl/)

Ive also seen numbers such as 1:2000 for macro and 1:86000 for macro - i think there is issues with the statistics because of the different brands - you can find more info on the TGA website

https://www.tga.gov.au/breast-implant-associated-cancer-or-bia-alcl

https://www.tga.gov.au/alert/breast-implants-and-anaplastic-large-cell-lymphoma

Omg. That’s not what I was told. Great. Yet another worry.

[Jugs 517]

I have allergan Natrelles and was advised early this year that they are one of the higher risk implants with ALCL. I’m breastfeeding at the moment and will be getting them removed when I can. I’m unsure whether I should replace them. It's tough to decide if the risks are worth it. How do I know the ones I replace them with won’t have other issues down the track.

[TheFox 101]

7 hours ago, Jugs said:

I have allergan Natrelles and was advised early this year that they are one of the higher risk implants with ALCL. I’m breastfeeding at the moment and will be getting them removed when I can. I’m unsure whether I should replace them. It's tough to decide if the risks are worth it. How do I know the ones I replace them with won’t have other issues down the track.

Brazilian Polyurethane implants have the highest risk, followed by the Allergan ones.

Smooth implants have not ever caused a single case of ALCL to date so if it is a huge concern for you then smooth implants would be an option. Otherwise, the Mentor micro textured implants have a much lower risk of ALCL and have been around for a very long time. I personally would feel more comfortable choosing this implant over some of the newer ones on the market that have not had a chance to be implanted for 10+ years. I remember many years ago brazilian implants were all the rage because of the low rate of CC (theoretical) and now we know they pose a much higher risk of ALCL, so not a worth it trade off in my opinion.

[Jugs 517]

Great info thank you @TheFox. I think I would definitely go with smooth. I’m just worried that I can spend all the time in the world picking the safest implant and still wind up with CC, bottoming out or any of the other complications that are possible. I guess it’s just the risk we decide to take.

[TheFox 101]

13 hours ago, Jugs said:

Great info thank you @TheFox. I think I would definitely go with smooth. I’m just worried that I can spend all the time in the world picking the safest implant and still wind up with CC, bottoming out or any of the other complications that are possible. I guess it’s just the risk we decide to take.

That is definitely the conundrum. I know some surgeons feel the revision rate of smooth implants can be as high as 70% more with smooth implants because of those complications, particularly bottoming out or implant migration. I understand that in this group of surgeons, the risk of reoperation is higher for these complications then ALCL which is scary but a rather straightforward treatment consisting of removing the implant and surrounding capsule.
The best thing to do would be monitor your breasts for changes, which we all should be doing anyway, regardless of if we have implants or not. It is important we keep on top of these things and if anything feels or looks off, investigate it straight away.

It's also recommended to have routine examinations either ultrasound or MRI after a certain period of time has passed to monitor the breasts and integrity of the implants. I will say, radiologists these days are very "around" ALCL and my MRI report showed a decent amount of fluid around the implant. The radiologist put on the report that it should be investigated immediately for ALCL with ultrasound guided needle aspiration. I ended up having them removed anyway as i had reoccurring inflammation and pain in that breast and it was not suitable for immediate reimplantation. Even though I had lots of the symptoms and the highly macro textured nagor implants, my results came back clear for ALCL.