PRS Journal Club Textured versus Smooth-Surfaced Implants” with Elizabeth Hall-Findlay, MD - Apr. 2025 Journal Club
Apr 16, 2025
Join Elizabeth Hall-Findlay, a leading figure in aesthetic breast surgery, as she dives into the nuances of textured versus smooth-surfaced implants. The conversation reveals that recent studies show no significant differences in complications or patient satisfaction between the two types. Insights on how surgery techniques have evolved, alongside the role of AI in preoperative counseling, add depth to the discussion. Additionally, the challenges of 3D modeling in patient preferences are explored, sparking exciting possibilities for the future of breast augmentation.
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No Difference Between Smooth And Textured
- The April 2025 study found no significant differences in capsular contracture or lower‑pole morphometry between textured and smooth implants.
- Amanda R. Sergesketter noted outcomes remained similar at about three years follow‑up.
Long-Term Personal Implant Outcomes
- Elizabeth Hall-Findlay compared 54 subfascial and 52 subglandular cases over 11 years.
- She observed one Baker 3 capsular contracture in each group.
Capsular Contracture Increases Over Time
- Elizabeth Hall-Findlay challenged the notion of an 18‑month peak and argued capsular contracture worsens progressively.
- She emphasized that capsular contracture often presents later than early follow‑up suggests.