An implantable sphincter assistance device is configured to surround an exterior wall of an esophagus. The implantable sphincter assistance device includes a plurality of beads, at least one connector, and secondary material. Each of the beads has an exterior surface. The connector is configured to serially connect the beads to form a ring. The secondary material is configured to be disposed between the exterior surface of at least one of the beads and the exterior wall of the esophagus. The secondary material is configured to control remodeling of tissue surrounding the exterior wall of the esophagus.
