Using Both Smooth AND Textured Silicone Implants in Same Augmentation? (photo)

I have an asymmetry issue.. one breast sits a good bit higher than the other. The plastic surgeon I visited said that he wanted to use a textured implant in one (the larger and lower one) to help it hold its shape. Then he wanted to put a smooth one in the other (smaller breast with almost no lower breast fold).. to allow that one to drop more and correct the asymmetry problem. Has anyone else used this technique? Do you recommend? Aren't they going to feel different? (Being placed sub-muscle).

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8 Doctor Answers | Asked by brianna26

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Use of Both Smooth & Textured Silicone Implants in the Same Breast Augmentation

In general, it is not prudent to use asymmetric Smooth versus Textured implants in patients with asymmetries as they tend to feel and look different long term.

Rod J. Rohrich, MD

10 reviews

Dallas Plastic Surgeon

Asymmetrical Breasts

Dear Brianna, Using different textures for your implants may not be the solution to achieve commendable results. What is important is to address the ptosis of your right breast by a lift. Also, the type and size of the implants to be placed under the muscle is to be considered; silicone implants tend to give you a more natural look than the saline ones. I encourage you to seek additional consultations with board certified surgeons of extensive experience... more

Breast asymmetry

AS for your specific situation, it looks like one breast is fairly ptotic( saggy) and needs to be lifted. The implants chosen in my opinion should probably be the same type. Textured implants tend not to move much and therefore don't "jiggle" like normal breasts. In addition, they can cause more scalloping/ridging in my opinion.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Using Both Smooth AND Textured Silicone Implants in Same Augmentation?

Thanks for this very interesting question and posting your photo. Before I address the use of different textured implants I must compliment your surgeon and all the posters in giving yiou some advise and guidance in solving the asymmetric breast issues you present. I feel we must first address the anatomic deformity posted. Your right breast is larger, slightly ptotic, has an inframammary crease in the more natural location. Vs the left breast is hypoplastic in volume, has high inframammary... more

Textured and smooth implants (submuscular) in same patient with breast asymmetry? Will it work?

Without knowing the age and experience of your surgeon, I must first commend him or her on considering a thoughtful option to try to deal with your asymmetry. But, I don't think it will work. First of all, a submuscular textured implant does not move, and rather than "holding shape" what may happen is a higher risk of developing a Snoopy-dog or double bubble deformity. Secondly, a smooth implant on your non-droopy side will not create symmetry as it drops into position... more

Using Both Smooth AND Textured Silicone Implants in Same Augmentation?

The implants may indeed feel different in consistency and you may feel the edges or even wrinkles more in the textured implant depending on your tissue thickness in the lower portion of the breast where the implant is not covered by muscle. Although your shoulders are "tipped" in the photo, it looks like when straightening your shoulders your one nipple is not far off the level of the other one, but of course the one crease is higher than the other and the distance from nipple to... more

Textured silicone implants

The purpose of the texturing was initially to reduce capsular contracture. Next, the texture is present to hold the position of an implant, especially an anatomic implant to resist rotation. The degree of texturing and effectiveness can vary, and most of would not count on the texture to resist an implant drop. Our vote would be a similar implant on both sides, and be patient with relaxation of the fold on the smaller side. Better, not perfect.

Smooth and textured breast implants

First, there are differences in the degree of texturing the implant manufacturers have on their products so not all "textured" implants are textured to the same degree. The Mentor's for example, are very finely textured and the Allergan's are more course. That being said, I respect that your surgeon is trying to do all possible for you because you have alot of asymmetry. However, I honestly don't think that the plan is going to be as effective as it might sound. ... more