March 2025
Are Textured Breast Implants Safe? What Every Woman Should Know
Breast augmentation remains one of the most sought-after cosmetic procedures worldwide. Whether for aesthetic enhancement, reconstruction after mastectomy, or correction of asymmetry, breast implants have helped countless individuals regain confidence in their bodies. However, safety concerns surrounding textured implants have made some patients hesitant, particularly following the 2019 recall of Allergan’s Biocell macro-textured implants due to their association with Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL).
Understandably, this has left many wondering: Are textured implants now safe? The good news is that advancements in implant technology have led to the development of safer alternatives, including Motiva’s Silk Surface implants, which have demonstrated excellent safety records. In this article, we’ll address past concerns, examine current scientific findings, and reassure women considering breast augmentation using the more modern textured implants.
Understanding the Textured Implant Controversy
Textured breast implants were originally developed to reduce capsular contracture and provide better breast implant stability. Unlike smooth breast implants, textured implants adhere to surrounding tissue, minimizing movement and rotation, especially in shaped (anatomical or teardrop-shaped) implants. However, research uncovered a link between certain types of macro-textured implants and BIA-ALCL, a very rare but serious lymphoma of the immune system.
The 2019 Allergan Biocell Recall
In 2019, the FDA requested a voluntary recall of Allergan’s Biocell macro-textured implants. Studies indicated that this specific implant surface carried a higher risk of BIA-ALCL compared to other implant textures. While the overall risk remained low, the recall was issued out of an abundance of caution, and patients with these implants were advised to consult their plastic surgeons for monitoring.
Despite the recall, it is important to note that BIA-ALCL remains a very uncommon condition. When detected early, it is highly treatable, often requiring the removal of the implant and surrounding capsule. The key takeaway from this event is that not all textured implants carry the same risk—macro-textured implants, such as Biocell, posed a concern, whereas newer, more refined textures have not demonstrated the same issues.
What Defines a Textured Implant?
Textured implants vary in their level of roughness. Manufacturers have developed different types of textured surfaces to balance implant stability with biocompatibility. Here’s a breakdown of texturing levels:
--Macro-textured implants: Coarse, aggressive texture (e.g., Allergan Biocell) – Linked to higher BIA-ALCL risk.
--Micro-textured implants: Less aggressive texture, designed to provide some tissue adherence while minimizing inflammation.
--Nano-textured and smooth-surface implants: Ultra-fine texturing or nearly smooth surfaces that reduce inflammation and the risk of capsular contracture.
FDA-Approved Textured Implants and Their Safety Profiles
Since the recall, several manufacturers have continued to refine implant surfaces to prioritize patient safety. Today, textured implants from reputable brands like Mentor, Sientra, and Motiva offer safer alternatives with reduced risk factors. Here’s how they compare:
Mentor
- Produces Siltex textured breast implants.
- Features a fine-textured surface for improved tissue adherence.
- No significant association with BIA-ALCL cases.
Sientra
- Offers TRUE Texture implants.
- Designed to reduce capsular contracture while maintaining biocompatibility.
- Approved by the FDA with no known BIA-ALCL cases.
Motiva: The Next Generation Approach
Motiva’s Silk Surface implants represent the latest advancement in textured breast implant safety. These implants feature:
- Nano-texturing with a surface roughness of just 4 microns – far below the 10-micron safety threshold recognized by most researchers.
- No reported cases of BIA-ALCL – making them one of the safest textured implant options available.
- Improved biocompatibility – Designed to minimize inflammation and capsular contracture risk.
Visit Motiva To Learn More
Motiva Silk Surface: A Reassuring Alternative
Motiva Silk Surface implants have quickly gained recognition as a safe and effective option for breast augmentation and reconstruction. Unlike their macro-textured predecessors, these implants utilize a unique nano-textured surface that maintains implant stability while significantly lowering the risks associated with traditional texturing.
Key Benefits of Motiva Silk Surface Implants
No Reported Cases of BIA-ALCL: Extensive clinical studies and real-world use show no link or potential risk between Motiva’s nano-textured implants and this rare lymphoma.
Lower Inflammatory Response: The ultra-smooth surface minimizes irritation to surrounding tissue, reducing the risk of complications.
Reduced Capsular Contracture Rates: Capsular contracture, a condition where scar tissue tightens around the implant, is significantly lower with Motiva implants compared to macro-textured options.
Optimal Implant Stability: Despite their smoother surface, these implant types provide enough adherence to prevent unwanted movement within the breast pocket.
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Addressing Patient Concerns
It’s completely understandable for patients to feel apprehensive about breast implants given past concerns. However, it’s important to separate outdated fears from current scientific advancements. If you are considering breast augmentation, discussing your options with a board-certified plastic surgeon can help ensure that you make the most informed decision based on the latest research and technology.
What To Do If You Have Older Textured Implants
For those who already have a textured type of implant, especially older macro-textured models, the following steps can help ensure peace of mind:
- Monitor for Symptoms: Symptoms of BIA-ALCL include persistent swelling, fluid buildup, or a lump near the implant. If you experience any of these, consult your plastic surgeon promptly.
- Regular Check-Ups: Routine follow-ups with your plastic surgeon can help detect any changes early.
- Consider Implant Exchange: If you have Allergan Biocell implants and are concerned about your health, talk to your plastic surgeon about switching to a safer alternative like Motiva Silk Surface implants.
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Conclusion: A Safer Future For Breast Implants
The landscape of breast implant safety has evolved significantly in recent years. While macro-textured implants once raised concerns, modern innovations like Motiva’s Silk Surface technology have introduced a safer, biocompatible alternative with no reported cases of BIA-ALCL.
Women considering breast augmentation can take comfort in knowing that today’s implants prioritize both aesthetics and safety. By choosing a board-certified plastic surgeon and discussing the latest implant options, you can achieve your goals for shape and size using Motiva implants without unnecessary worry.
If you have questions about breast implant safety or are considering a breast augmentation or implant exchange, we invite you to consult with board-certified plastic surgeon, Dr. John Burns.
In your complimentary consult, Dr. Burns and his nurse will guide you through the best options for your unique needs. Your safety and confidence remain our highest priority in today’s ever-advancing field of breast surgery.
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