-
Views
-
Cite
Cite
Caroline Glicksman, Commentary on: Benefits and Limitations of Macrotextured Breast Implants and Consensus Recommendations for Optimizing Their Effectiveness, Aesthetic Surgery Journal, Volume 34, Issue 6, 1 August 2014, Pages 882–883, https://doi.org/10.1177/1090820X14534956
Close - Share Icon Share
Extract
Every time I’m in London, I visit my favorite restaurant in Knightsbridge for the chef’s famous pistachio soufflé. It never ceases to amaze me how, night after night, year after year, his superb technique produces a perfect and reproducible outcome. Is it the expensive ingredients that the chef selects, or is it his oven that creates this work of art? More likely it is his critical attention to detail, combined with years of experience.
The process of breast augmentation has been well described1 and involves a multitude of decisions between the physician and patient. Biodimensional planning allows a shift away from the older “volume” thinking in implant selection toward shaping the breast in a more controlled fashion with implants that provide relative form stability. The authors acknowledge that implant selection, surgical technique, and postoperative management vary depending on the implant selected and share their international experience with the Allergan Natrelle (Allergan, Irvine, California) range of implants with macrotextured shell surfaces.2 They define 3 different-textured surfaces by pore size, classifying Allergan’s Biocell open-pore surface, with the largest diameter, as macrotextured. They describe Mentor’s Siltex (Mentor Worldwide LLC, Santa Barbara, California) surface as microtextured and Sientra’s “True” (Sientra, Santa Barbara, California) texture as intermediate, since the pore size of their textured surface was not defined. In the United States, surgeon experience with textured surface implants differs from that of the European, Canadian, Latin American, and Asia Pacific experience. This is in part due to the moratorium on silicone implants and the delay in new device approvals. The authors further describe how these macrotextured implants affect the degree of local tissue adherence and the advantages and possible disadvantages produced by this cellular phenomenon.
