PSC Roundtable

Transitioning from Textured Implants in the BIA-ALCL Era

Transitioning from Textured Implants in the BIA-ALCL Era


On this The Aesthetic Society Round Table, board certified plastic surgeons and breast augmentation experts Dr. Brad Calobrace of Louisville, Kentucky, Dr. Pat McGuire of St. Louis, Missouri, Dr. Louis Strock of Fort Worth, and Dr. Steven Sigalove of Scottsdale, Arizona discuss how they transitioned from using textured implants in the BIA-ALCL era.

BIA-ALCL, or Breast-Implant Associated Anaplastic Large Cell Lymphoma, is an extremely rare cancer that occurs in patients with breast implants. To date, all cases of BIA-ALCL have occurred in patients who had textured implants, a specific type of implant whose surface is textured rather than smooth. Clearly, there is something about the textured surface of these implants that can generate BIA-ALCL, and thus surgeons who once utilized them are transitioning to non-textured devices.

For many breast surgeons this is rather unfortunate, as textured implants for a long time provided a better technology that allowed for specialized results. Many breast cases involving deformations benefited mightily from a textured implant, as did reconstruction cases following mastectomy. Due to this success, surgeons began to use them routinely, and now have to transition away as the risk of BIA-ALCL to their patients, although low, is still too much. Plastic surgeons are, after all, physicians; patient safety is always paramount.

Hear more from former textured implant specialists and how they’ve successfully transitioned to better, safer options on the latest The Aesthetic Society Round Table.

Click to add a comment

Leave a Reply

Your email address will not be published. Required fields are marked *

PSC Roundtable

More in PSC Roundtable

Use of Patient Decision Aids - Informed Consent

Use of Patient Decision Aids – Informed Consent

William P. Adams, Jr., MDSeptember 16, 2020
Advances in Breast Implant Data Collection and Patient Interaction

Advances in Breast Implant Data Collection and Patient Interaction

Luis Rios, MDSeptember 14, 2020
So You Don't Want Your Implants Anymore?

So You Don’t Want Your Implants Anymore?

M. Bradley Calobrace, MDSeptember 7, 2020
Breast Implant Illness for the Clinician

Breast Implant Illness for the Clinician

Melinda Haws, MDSeptember 2, 2020
Surgical Algorithm for Management of Implant Exchange with Textured Implants

Surgical Algorithm for Management of Implant Exchange with Textured Implants

William P. Adams, Jr., MDAugust 31, 2020
Checking Up on Implants with In-Office Ultrasound

Checking Up on Implants with In-Office Ultrasound

Melinda Haws, MDAugust 29, 2020
Optimal Breast Implant Pocket Preparation

Optimal Breast Implant Pocket Preparation

Luis Rios, MDAugust 26, 2020
How to Diagnose and Treat BIA-ALCL

How to Diagnose and Treat BIA-ALCL

Patricia McGuire, MDAugust 19, 2020
Managing Patients with Textured Implants

Managing Patients with Textured Implants

M. Bradley Calobrace, MDAugust 17, 2020