Steps to minimise ALCL risk in Macrotextured breast implants- Experience in 42,000 Implants

Can we minimise the risk of developing ALCL in macro textured implants...surely 42,000 cases can't be wrong?! Adams WP Jr, Culbertson EJ, Deva AK, R Magnusson M, Layt C, Jewell ML, Mallucci P, Hedén P. Macrotextured Breast Implants with Defined Steps to Minimize Bacterial Contamination around the Device: Experience in 42,000 Implants. PlastReconstr Surg. 2017 Sep;140(3):427-431. doi: 10.1097/PRS.0000000000003575. PubMed PMID: 28841597