Aesthetic Plastic Surgery

, Volume 43, Issue 6, pp 1467–1468 | Cite as

Invited Discussion on: Smooth Surface Breast Prostheses: Our Experience and the Current Practice in the Use of Smooth Submuscularly Placed Silicone Gel Breast Implants

  • Fabio Xerfan NahasEmail author
Editor’s Invited Commentary

Level of Evidence V This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors

The authors have brought to discussion an interesting subject, as BIA-ALCL is a growing problem and has been related to textured implants in most series. They have made a literature review aiming at studies that compared smooth and textured implants placed in a submuscular position. In fact, very few studies of the literature review presented a relevant level of evidence. The have also made an evaluation of their own patients using smooth implants in the submuscular position.

The main reason why plastic surgeons migrated from using smooth implants to textured implants was capsule contracture. The authors state that “… it is unclear whether texturing reduces the incidence or merely delays the onset of capsular contracture”. If...


Compliance with Ethical Standards

Conflict of interest

The author declares that he has no conflicts of interest to disclose.

Human Participants or Animals

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

For this type of study, informed consent is not required.


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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.Federal University of São PauloSão PauloBrazil

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