As a plastic surgeon, one of the most common concerns I hear from patients considering breast augmentation is about implant safety—especially when it comes to textured implants. With so much information (and misinformation) floating around online, it’s completely understandable to have questions.
Over the years, breast implants have gone through significant advancements in both design and safety. However, after the 2019 recall of Allergan’s Biocell macro-textured implants due to their association with Breast Implant-Associated Anaplastic Large Cell Lymphoma (BIA-ALCL), many women have been left wondering:
Are textured implants safe today?
The short answer: Not all textured implants are the same. The specific type of rough-textured implants that raised concerns are no longer used, and today’s modern, nano-textured implants—such as Motiva Silk Surface—offer a safer alternative with no reported cases of BIA-ALCL.
Let’s break down what you need to know.
Why Were Textured Implants Used in the First Place?
Textured implants were originally developed to reduce the risk of capsular contracture (a condition where scar tissue tightens around an implant) and to help prevent implant movement—especially in anatomically shaped implants.
Unlike smooth implants, textured surfaces encourage tissue adherence, meaning the implant stays in place rather than rotating inside the breast pocket. While this was a great innovation at the time, the problem arose when studies linked macro-textured implants (specifically Allergan’s Biocell) to BIA-ALCL, a rare but treatable immune system cancer.
The 2019 Allergan Biocell Recall: What It Meant for Patients
In 2019, the FDA requested a voluntary recall of Allergan’s Biocell implants due to a higher-than-average risk of BIA-ALCL compared to other implants. While the overall risk was still low, the recall was issued as a precaution.
If you currently have Allergan Biocell implants, don’t panic—BIA-ALCL is rare, and when caught early, it is highly treatable. However, I always recommend that my patients:
- Monitor for symptoms like swelling, fluid buildup, or lumps near the implant.
- Stay on top of regular check-ups with a board-certified plastic surgeon.
- Consider implant exchange if you have concerns about your current implants.
The key takeaway? Not all textured implants were affected—only macro-textured Biocell implants were found to pose a higher risk.
Are Today’s Textured Implants Safe?
Since the recall, implant manufacturers have refined their technologies, leading to safer alternatives that offer the benefits of texturing without the risks.
Not All Textured Implants Are Created Equal
There are different levels of implant texturing, and the safety profile varies based on the texture type:
- Macro-textured implants: Rough, coarse surfaces (e.g., Allergan Biocell) – Higher BIA-ALCL risk.
- Micro-textured implants: Finer texture, designed to maintain stability while reducing inflammation.
- Nano-textured & smooth implants: Ultra-smooth or minimally textured surfaces, significantly reducing risks.
The Next Generation of Safe Textured Implants
If you’re considering breast augmentation, you have safer implant choices than ever before. Some of the top brands today include:
Mentor Siltex
- Fine-textured surface for improved tissue adherence.
- No significant link to BIA-ALCL.
Sientra TRUE Texture
- Designed to reduce capsular contracture while maintaining biocompatibility.
- FDA-approved, with no reported cases of BIA-ALCL.
Motiva Silk Surface: The Most Advanced Textured Implant
Motiva has taken implant technology even further with its Silk Surface implants, which are designed for maximum safety and biocompatibility.
Why I Recommend Motiva Silk Surface
- Nano-texturing with only 4 microns of roughness—far below the 10-micron safety threshold.
- No reported cases of BIA-ALCL—making them one of the safest textured implants available.
- Minimized inflammation—lower risk of capsular contracture.
- Excellent stability—without the risks of older textured implants.
Motiva’s innovative surface allows the implant to stay in place without the complications of aggressive texturing.
What If You Already Have Older Textured Implants?
If you have macro-textured implants, especially Allergan Biocell, here’s what I tell my patients:
- Stay informed – Know what type of implants you have and monitor for any changes.
- Regular follow-ups – Annual exams with your plastic surgeon are important for early detection of any concerns.
- Consider implant exchange – If you’re uncomfortable with your current implants, switching to a safer option like Motiva may give you peace of mind.
Final Thoughts: A Safer Future for Breast Implants
The field of breast augmentation has come a long way, and today’s implants are safer than ever.
If you’re considering breast augmentation, rest assured that you have options that prioritize both aesthetics and safety. Choosing an experienced, board-certified plastic surgeon is key to ensuring you get the best outcome with the latest, safest implant technology.
Have Questions About Breast Implant Safety?
If you’re wondering whether textured implants are right for you or if you should consider an implant exchange, I’d love to help.
Schedule a consultation with me, Dr. Sorokin, and let’s talk about the best options for you.
Your safety and confidence are my top priorities, and I’m here to make sure you feel great about your decision—every step of the way.