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Why after breast augmentation do some implants require massaging and others do not?
Some plastic surgeons believe massage may decrease the incidence of capsular contracture. Smooth surface implants can be massaged. Textured surface implants require tissue ingrowth into the texture's surface and should not be massaged; the massage would prevent the tissue ingrowth.
S.F. Shureih, MD
In general implants do not require massaging, though some plastic surgeons recommend it. There is no good evidence that it helps prevent capsular contracture, which is the usual reason for recommending it. Occasionally implants may need help settling into the right position, so in those instances massage in the early postoperative period may be suggested.