ArticleAesthetic surgery journal. Open forum2026
A Head-to-Head Meta-Analysis of 35,052 Smooth vs Textured Implants in Breast Reconstruction and Augmentation.
Article in Aesthetic surgery journal. Open forum, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Whether texturing confers clinical advantages over smooth breast implants remains questionable, especially in the wake of breast implant-associated anaplastic large-cell lymphoma concerns with textured implants. Objectives: The aim of this study was to compare complications, implant-specific events, and patient-reported outcomes between smooth and textured implants across augmentation and reconstruction. Methods: Following PRISMA 2020, the authors synthesized head-to-head comparative studies through January 15, 2025. Random-effects models estimated risk ratios (RRs) for dichotomous outcomes and mean differences for BREAST-Q domains; heterogeneity ( Results: Thirty-three studies comprising 35,052 implants met inclusion criteria. In the initial pooled analysis, smooth implants showed higher capsular contracture (RR = 1.69, 95% CI, 1.36-2.11, Conclusions: In contemporary, plane-matched comparisons with appropriate sensitivity analyses, smooth implants did not demonstrate a higher capsular contracture risk and were associated with lower infection risk compared with textured implants. Other complications and patient-reported outcomes were similar among both groups. Level of Evidence 3 Therapeutic:
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.