Abstract

Scott L. Spear, MD Washington, DC I do not use only one type of breast implant. Depending on the patient, I may use either smooth or textured implants, and I may select either round or anatomically-shaped devices. I give patients a range of choices and try to outline the tradeoffs, pluses, and minuses of each option. In general, I lean toward textured implants placed subpectorally when I have a concern about capsular contracture, even though my experience with smooth saline implants has been quite satisfactory with regard to low rates of …

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