This is from a comment posted by Dr. Michelle Roughton at Amelia Aesthetics: So under the muscle I don’t see a lot of benefit from textured implants. Over the muscle is a different story. Textured implants, as I am sure you know, are associated with a rare form of lymphoma (which is a cancer). It’s super rare and even more rare to die from it, but you can. Most of my patients freak out (and I would too, no shade!) about that and I’ve just switched to smooth all the time except for very specific cases. The rate of capsular contracture with a smooth implant OVER the muscle is 6 x higher than when placed UNDER. So I talk to most of my over patients about considering texture devices. Time changes every woman’s body, breasts, etc with or without surgery so I don’t think anyone can claim that textured devices STOP drooping. I’d just be really informed and know what to look for for the ALCL (lymphoma), which is late onset (think over 1 year later) seroma or fluid collection. I hope this was helpful and not too scary.
More on the cancer and capsular contracture in the Safety (II) section, so stay tuned…..