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Robert M. Jensen, MD answers: What are the pros and cons to textured vs. smooth implants?

Are textured silicone implants firmer? Do they still feel very natural? I'm a thin girl, 5'3" and 100 lbs. I'm having my surgery in a week and a half and I'm really stressing. My doc gave me two size options ... 322 cc or 440 cc ... isn't there something in between? And he said he was using textured implants.


Robert M. Jensen, MD
5 months ago
By Robert M. Jensen, MD - Medford Plastic Surgeon

The only available, FDA approved silicone implants in the US right now are a smooth round implant.  Textured implants are available in Canada and the EU.  The problem with textured saline implants in the past is that they have had a much higher rupture rate.  Also  the anatomic (form stable) implants, which are a textured implant,  have a small risk for slipping sideways or upside down if not placed in a perfect pocket.

When considering size, most implants go up in size by 25cc imncrements, so there are other options for size.  Might be wise to get a second opinion.

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