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Complications in breast augmentation with textured versus smooth breast implants: a systematic review protocol
  1. Chenglong Wang1,
  2. Jie Luan1,
  3. Adriana C Panayi2,
  4. Dennis P Orgill2,
  5. Minqiang Xin1
  1. 1 Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, Beijing, China
  2. 2 Division of Plastic Surgery, Harvard Medical School, Brigham and Women’s Hospital, Boston, Massachusetts, USA
  1. Correspondence to Dr Minqiang Xin; doctorshin{at}


Introduction Breast augmentation is one of the most popular aesthetic plastic surgeries worldwide. There are various types of breast implants, and these can be categorised into different broad groups based on their content, shape or surface, to name a few. When looking at the surface of the shell, they can be categorised into two main kinds: textured and smooth implants. To our knowledge, a literature review and meta-analysis of the complications of these two types of implants when used for aesthetic breast augmentation has yet to be written.

Methods and analysis The PubMed, EMBASE and Cochrane electronic databases will be searched from their inception to 1 October 2017. Only cohort studies, case series, case–control studies and randomised controlled trials will be included. Identification of the articles for inclusion will be carried out by two independent researchers, and data will be extracted from these studies for analysis. This protocol defines the inclusion and exclusion criteria, as well as the primary and secondary outcomes. Statistical data analysis will be conducted in Review Manager V.5.3 from Cochrane Collaboration. The methodological quality of the included studies will also be assessed.

Ethics and dissemination This review will analyse secondary data collected from studies which are not linked to any specific individual. Once completed, the conclusions of the review could prove to be a valuable resource for plastic surgeons to conduct aesthetic implant procedures. The review will be submitted for publication in a peer-reviewed journal and presented at various national and international conferences.

PROSPERO registration number CRD42017078727.

  • mammaplasty
  • breast implants

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  • Contributors MX and CW had the original idea of this work. CW wrote the first draft of the protocol. CW and ACP designed the search strategies. JL proposed some important advice for the study design and revision. ACP revised the language of the draft. DPO aided in developing the research questions. All authors critically revised the draft of the manuscript and approved its final version.

  • Funding This research received no specific grant from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Not required.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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