The surface of the breast implants can either be smooth or rough (textured).

Textured surface implants have a slightly lower incidence of capsular contracture (thick scarring around the implant) compared to the smooth surfaced implants. However, there is a higher incidence of rippling of the breast when textured implants are used.

Nowadays, the risk of surgery to correct capsular contracture is about 5%. This is a significant decrease compared to many years ago when liquid silicone gel implants were used. Surgery for capsular contracture may not necessarily prevent it from happening again. Nowadays, when capsular contracture is first detected, medications are first used to try and soften the hardening. If this is not successful, then surgery can be considered.

Currently, the silicone casings are made much stronger and thicker than the original silicone implants from years ago. This is to lessen the chances of gel leakage, implant rupture and capsular contracture.

The cohesive silicone gel inside the casing is not like a liquid silicone from years ago. It has the consistency of ‘Turkish Delight’ and feels more natural like breast tissue. When the implant is sliced in half for demonstration, the cohesive gel tends to stick together and does not flow like the liquid silicone.

Generally, the gel in the tear drop implant is of a firmer consistency because the shape has to be maintained. The gel in the round implants is generally softer, so that in an upright position the gel falls downwards to try and form a tear drop shape.

Article by Dr. Lai

Download how to use Breast Implants