Comparative Сharacteristic of Complications in Smooth and Textured Implants for Breast Modification Surgeries Performed in Women

Abstract

Introduction: The aim of this study is to comprehensively compare breast modification surgeries using smooth and textured implants in terms of a complication profile. Materials and methods: PubMed, ScienceDirect, Embase, and Cochrane databases were searched for relevant studies reporting complication rates and quality of life on the BREAST-Q questionnaire in groups of patients with smooth and textured implants. The odds ratios of the following complications between the groups were calculated: capsular contracture, hematoma, infection, malposition, seroma, breast rippling, implant rupture, and reoperation rates. And mean differences for BREAST-Q scores were also calculated. Results: A meta-analysis of 14 studies was performed in this article. No significant differences were found in the odds of capsular contracture, malposition, seroma, breast rippling, implant rupture, and reoperation rates between groups. The chance of developing infection was statistically significantly lower with smooth implants. The chance of hematoma development was statistically significantly lower with textured implants. Comparison of BREAST-Q results showed no difference between the groups. Conclusion: Our results suggest that using smooth implants is associated with a lower chance of infection and a higher chance of hematoma development.