Historically it was thought that trans women had more capsular contracture – scar tissue buildup – than cis women. But that was probably due to older techniques and Dr. Teitelbaum has not noticed a difference. The only problem that seems to be more common with breast augmentation in trans women is implant malposition, specifically meaning that the implant slides down and is too low in the body. This can require a revision. That is why Dr. Teitelbaum emphasizes the benefits of his use of an absorbable mesh to secure the implant into position.