Cohesive Gel Breast Implants – Are they all the same?

At the recent Toronto Aesthetic meeting, the topic of smooth versus textured cohesive gel breast implants came up for discussion. The differences between Mentor and Allergan textured implants was also debated. Studies have not consistently demonstrated the superiority of one implant over another, in part because these implants have properties that allow one implant to be better in some situations, and another implant in others.  Despite the absence of good studies, our experience and that of other top Toronto breast augmentation surgeons has been that texturing does not make a big difference in the development of capsular contracture.  Texturing does allow the use of shaped (anatomic) implants, as a smooth surface would allow the implant to spin and create deformities.  Smooth round implants are best if you are doing a revision and don’t expect the implant to adhere well in the pocket.  Make sure you choose a surgeon who will consider all the available options to your benefit.