Richard V. Dowden, M.D., C.M., F.A.C.S.

Board Certified Plastic Surgeon

Cosmetic and Plastic Surgery, Inc.
6770 Mayfield Road, Suite 410
(Mayfield Heights) Cleveland, Ohio 44124
(440) 449-7470


Answers to Frequently Asked Questions about
breast enlargement:

What is "Traction Wrinkling"?

Traction Wrinkling is a specific type of visible wavy irregularity that can be seen with certain types of implants (see photo below). It is completely different from ordinary wrinkling or rippling, with which it should not be confused.

Traction Wrinkling after Textured Implant:

Traction Wrinkling after Textured Implant - 6k JPG

Traction Wrinkling is not harmful, and is not a complication, just a visible surface feature. It is seen primarily in the presence of implants with coarsely textured surface, specifically the McGhan Biocell surface, as used in the "Anatomic" shaped implants. It occurs in both pre-pectoral ("Overs") and subpectoral ("Unders") types of augmentation. The thinner a woman's breast tissue, and the larger the implant, the more noticeable Traction Wrinkling can be.

There is no way to get rid of the traction wrinkling other than to re-operate, and sometimes a change to a smooth implant is even required.

If the implants are to be inserted through the navel, Dr. Dowden prefers to use smooth implants, and for that reason has not seen traction wrinkling with the transumbilical breast augmentation (TUBA).


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Note that while the information given by Dr. Dowden during a consultation is completely current and up-to-date, the information of this website is only as current as the date of last update, and therefore may become out-of-date.

6770 Mayfield Road, Suite 410
(Mayfield Heights) Cleveland, Ohio 44124
(440) 449-7470

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Last Update: 7:13 PM on 06/01/2008
URL of Dr. Dowden's home page: http://dr-dowden.com/index.html
URL of breast enlargement page: http://dr-dowden.com/main/augment.html
URL of breast enlargement via navel page: http://dr-dowden.com/main/tuba.html

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