Textured silicone breast implant use in primary augmentation: core data update and review

Plast Reconstr Surg. 2015 Jan;135(1):113-124. doi: 10.1097/PRS.0000000000000832.


Evolution of silicone breast implant design has focused primarily on advances in implant fill, surface texture, and shape. Fifth-generation, shaped, form-stable, silicone breast implants from all three major implant manufacturers are now approved for use by the U.S. Food and Drug Administration in the United States. As part of this approval, the U.S. Food and Drug Administration mandated Core Study follow-up of silicone implants for 10 years after premarket approval. An updated and comprehensive collection of Core data from all three manufacturers is presented in this review. In addition, cause and rates of capsular contracture, seroma, rippling, and malposition are discussed. New concepts such as tissue friction coefficient are discussed that may influence outcome after primary breast augmentation. The theoretical advantages and disadvantages of the various textured surfaces ranging from microtexturing to macrotexturing are presented in relation to breast tissue incorporation.

Publication types

  • Review

MeSH terms

  • Breast Implants* / adverse effects
  • Female
  • Follow-Up Studies
  • Humans
  • Postoperative Complications / epidemiology
  • Postoperative Complications / etiology
  • Prosthesis Design
  • Prosthesis Failure
  • Silicone Gels*
  • Surface Properties
  • Time Factors


  • Silicone Gels