Breast Implants Q&A
80%
WORTH IT RATING
"Worth It Rating" shows the % of consumer reviewers that stated the procedure was "Worth It" or not. See more RealSelf Worth It Ratings or Add Your Review
1,009 Reviews
Breast Implantsbefore & after photos
View Before and Afters

Average Breast Implants Cost: $6,000

Learn about Breast Implants

4,932 people and 832 doctors are talking about Breast Implants

Get Free Email Updates

Natrelle Saline-filled Implants with Texture

asked 3 years ago by anon
Latest answer by Kelly Gallego, MD
Question viewed 4,122 times
Tags: saline implants, Natrelle, textured

I was to get saline implants without the texture. Today when I went to doctor he said he put in natrell textured saline implants and I specifically asked not to have that. I need to know about this kind of an implant. I am upset because of this and need to know more. Thanks Jean

30 answers to Natrelle Saline-filled Implants with Texture

+5

Textured implants

Historically textured implants didnt come on the scene until the late 80's. If you are placing them on top of the muscle, there is good evidence that textured implants really do cut down on the chance for capuslar contracture. They also keep a shaped implant from turning around at will. When placing them under the muscle there is no difference in the literature between the textured and the smooth wall implants in the chances of capsular contracture. When placing the implant above the... more
Dan Mills, MD

Orange County Plastic Surgeon

www.danmillsmd.com

+4

Natrelle implants

There are currently two American breast implant manufacturers: Mentor and Allergan. Allergan has branded all of their breast implants with the name Natrelle. Those implants include round saline-filled implants with both a smooth and textured shell (the texturing on Allergan's implants is called Biocell and the texturing on Mentor's implants is called Siltex.) They also make an anatomic or teardrop implant, and they only come with texturing (in order to help fix the anatomic... more
Steven Teitelbaum, MD

Los Angeles Plastic Surgeon
+2

Textured breast implants

Breast implants are made with either smooth or textured shells.  Textured implants have a rough surface which was initially designed to decrease the likelihood of capsular contracture when implants were placed on top of the muscle.  When implants are placed on the under the muscle, the incidence of capsular contracture is roughly the same regardless of whether a smooth or textured implant is used.  Because textured implants have a thicker shell, they sometimes can... more
Kelly Gallego, MD

Sioux City Plastic Surgeon

www.drgallego.com

+2

Natrelle Saline Implants with Texture

Jean, I am sorry to hear of your upset after surgery, but please be reassured that you have implants of the highest quality used frequently by plastic surgeons for breast augmentation. A significant number of plastic surgeons prefer to use textured implants because some data suggests a lower capsule contracture with these implants.  Another reason textured implants are used is that a shaped implant ("tear drop" or "anatomic-shaped" implants) must maintain... more
Paul C. Zwiebel, MD

Denver Plastic Surgeon

www.pzwiebel.com

+2

Textured vs. Smooth Breast Implants. What is the deal?

"Textured" and "smooth" refer to the shell of the implant.  In a textured implant, the surface feels rough.  This causes the implant to adhere to the surrounding tissue, so the implants don't move. In a smooth implant the surface is smooth. To discuss implant shells and make any sense, you have to talk about the "pocket."  The pocket is the space you make to put the breast implant in.  This space will laminate itself to form your... more
Lauren Greenberg, MD

Palo Alto Plastic Surgeon
+1

Textures silicone breast implants

Texturing breast implants was initially developed as a method of decreasing capsular contracture.  Some doctors prefer one or another for a variety of reasons.  I personally prefer smooth implants.  They have a more pliable shell that feels a little softer.  If there is rippling with a saline implant this can be amplified by the texturing.   If you have a soft result without rippling, then I wouldn't be concerned about the textured implants.  They... more
York Jay Yates, MD

Salt Lake City Plastic Surgeon
+1

Textured Saline Implants

Having augmented hundreds of women with textured saline submuscular prostheses, I would advise you not to consider technique or implants used, but your result.  If your breasts are pretty, proportionate with your body, symmetric with one another, soft, with an obscure scar, sensate nipples, and minimal rippling, wrinkling, or implant edge visibility and palpability, you have an outstanding result.  ENJOY THEM!
Steve Laverson, MD

San Diego Plastic Surgeon

feelbeautiful.com

+1

Implant texture

I'm sorry to hear about your implants.  Hopefully, though, you will still achieve the result you seek.  Textured implants were designed to reduce capsular contracture.  They facilitate ingrowth of collagen and distort the organized structure of collagen that leads to contracture and hardening (In theory).  This ingrowth also leads to immobilization of anatomic implants (teardrop, etc.)   I rarely use these implants.  There is some evidence that... more
Jason R. Hess, MD

San Diego Plastic Surgeon
+1

Textured versus smooth walled breast implants

Hello, Some docs like textured implants. It is a matter of opinion. I am not crazy about them in general as they tend to be more likely to show signs of rippling. For patients with a history of contacture they might be a good idea. Each case has its own issues that make textured implants a better or worse idea but mostly it is a matter of opinion and debatable. Best Regards, John Di Saia MD
John P. Di Saia, MD

Orange Plastic Surgeon
+1

Natrelle Textured saline implants vs Smooth implants

There may be specific reasons that a plastic surgeon uses textured implants. Here are the common reasons: if the implant used is a shaped (ie 'teardrop') implant, it only comes as a  textured implant to prevent it from rotating once inside the pocket there is concern that the implant will fall or descend excessively (occurs with patients who need their inframammary folds lowered significantly, patients having implants replaced because of bottoming out,... more
Lawrence Tong, MD

Toronto Plastic Surgeon
+1

Textured or smooth implants

The textured implants were designed to theoretically reduce the tendency for contracture of the scar capsule that surrounds all implants.  Capsular contracture results in squeezing of the implant which may produce increased firmness, visible deformity, or discomfort.  There is no conclusive evidence that texturing actually does reduce capsular contracture.  The textured implants are perfectly safe!  However, you need to discuss with your surgeon the decision to use... more
Randy J. Buckspan, MD

Austin Plastic Surgeon
+1

Textures vs. smooth breast implants

Smooth implants move freely in the pocket in which they are inserted. Their shells are thinner when compared to textured implants, and they tend to last longer than textured implants. Textured implants have a higher risk of leaking. Textured implants were originally designed to prevent a complication called capsular contracture - whether they achieve that continues to be debated. Overlying tissue will grow towards the implant and "grab" a hold of the textured surface - which... more
Usha Rajagopal, MD

San Francisco Plastic Surgeon

www.sfcosmeticsurgery.com

+1

Natrelle textured saline breast implants

Saline implants can be smooth or textured and why one is used over the other is a surgeons preference. Textured implants adhered better to the surrounding tissues than smooth implants. Some Plastic Surgeons believe that Textured implants may decrease the rate of capsular contracture (no clear evidence in the literature). Whether you had Textured or smooth saline implants is not as important as the shape of your breast after surgery. No need to be worried about this... more
Jaime Perez MD

Tampa Plastic Surgeon

www.jaimeperezmd.com

+1

Natrelle textured saline breast implants

Natrelle is the brand name of the implants manufactured by Allergan. Anatomic (shaped) implants, as opposed to round, are only available with a textured shell and not a smooth one. Your plastic surgeon should provide you with all the necessary information about the exact type of implants he used and the reasons for his choice.
Olivia Hutchinson, MD

New York Plastic Surgeon
+1

Clarify with your surgeon

I'm not sure why you thought you were getting smooth implants, but ended up with textured.  You'll need to ask your surgeon specifically about this.  Textured implants tend to stay in place more than smooth; they also tend to be slightly more firm (not much) and MAY reduce the incidence of capsular contracture. They're not a bad implant choice.  The bottom line is that you look good and like your breasts. If that's the case, it may not matter which implant you... more
Carmen Kavali, MD

Atlanta Plastic Surgeon
+1

Textured and smooth breast implants

One of the keys to a good patient-physician relationship is good communication.  Speak with your surgeon and find out the reason for the change in the plan.  In general, textured implants do not offer many benefits over smooth implants.  Some surgeons believe there is a lower capsular contracture rate with textured implants.  This is most true when the implant is placed above the muscle.  Textured implants are also more useful when an anatomic (shaped) implant is... more
Naveen Setty, MD

Plano Plastic Surgeon
+1

Anatomically shaped implants are always textured.

Anatomically shaped implants are always textured.  If you requested anatomically shaped implants then this may be the cause for using textured implants. Before every surgery I make the pre-operative marks which help guide me in the operating room AND I completely review the surgical plan with the patient which includes the implant type, implant size, and incision placement. This process is repeated in the operating room with everyone involved in the surgery after the patient is... more
Richard H. Fryer, MD

Salt Lake City Plastic Surgeon
+1

Textured Breast Implants vs. Smooth Breast Implants

It is unfortunate that there was not better communication between you and your surgeon. I agree with many others in the forum that have stated there appears to be no proven benefit for textured breast implants and that they likely offer several disadvantages when compared to smooth breast implants, such as: 1. Textured Breast implants result in more rippling 2. Textured Breast Implants have a higher deflation and rupture rate 3. Textured Breast Implants may require a slightly... more
Ankit Desai, MD

Jacksonville Plastic Surgeon
+1

Ideal implant for breast augmentation

It is unfortunate that there was communication between you and your surgeon.  Textured implants are a good choice for some patients.  There are a number factor to consider when deciding an ideal choice for an implant.  As you can imagine there should not be one cookie cutter approach.  An experienced and expert breast surgeon will thoroughly assess patient's breast anatomy to decide the best approach for the pocket creation, only then an appropriate implant choice can... more
Boris M. Ackerman, MD

Newport Beach Plastic Surgeon
+1

Textured saline implants offer no advantage over smooth saline implants

It is unfortunate that you and your surgeon had poor communication regarding your preference for smooth saline implants.  Personally, I use smooth saline implants exclusively because there is no proven advantage to the textured shell, and there may be some disadvantages.   Many surgeons consider the textured and smooth implants comparable, but it is often based on personal experience and less on the scientific literature.  In my experience, which is confirmed by research, the... more
Steven L. Ringler, MD

Grand Rapids Plastic Surgeon

www.stevenringlermd.com

+1

Textured saline implants

Textured breast implants can have a lower incidence of capsular contracture, which is a hard shell of scar tissue which can form around the implant.  This type of implant is preferred when placing an implant in a subglandular (above the muscle) position. When inserting an implant under the pectoral muscle, smooth implants are preferred.  However, this type of surface is associated with a higher incidence of rippling or wrinkling around the implant edge.  Please consult with a... more
William Bruno, MD

Beverly Hills Plastic Surgeon
+1

Textured saline implants

Textured implants have a fine coating on the outside of the shell of the implant. Smooth implants do not have this coating. For round implants, there is some data to suggest a decrease in capsular contracture rates with saline textured implants. This data does not seem to apply to silicone implants. A second reason for texturing an implant is to prevent rotation of the implant. Although this does not matter with round implants, it does matter with anatomic or tear-drop shaped implants.... more
David Bogue, MD

Boca Raton Plastic Surgeon

www.drbogue.com

+1

Key facts about textured implants.

Hi Jean. As you know implants can have a smooth or textured surface. Textured implants may give you some advantage because some studies show they have lower capsular contracture rates. The downside is they may show more rippling. These implants are not "bad" and in fact many people prefer them, but the misunderstanding is causing you concern. Talk to your surgeon and let him/her know that you are concerned. Communicate to them that you were under the impression you were... more
Tracy Pfeifer, MD

Manhattan Plastic Surgeon

drpfeifer.com

+1

Not a Significant Difference Between Textured and Non Textured Implants

Some surgeons prefer to use textured implants because some studies have indicated that they reduce the instance of capsular contracture, a condition where the tissue around the breast becomes hard and tightens around the implant. However, overall there have been no substantial findings to show that textured implants are more effective in preventing this condition. Both smooth and textured implants are safe and effective types of implants for breast augmentation. It is generally up to the... more
Tarick K. Smaili, MD

Beverly Hills Plastic Surgeon
+1

Breast implants

First, I would advise you to go back to your surgeon and ask for the reason for change of plans, he may have a legitimate and medical reason for using that particular implant He/ She can also provide you with the information and literature on both saline textured and smooth.Both are used extensively and are safe. The textured implant some may feel the edge of the implant and in thin people you may feel the implant because the shell is thicker. Because of that some believe that a fold in the... more
Samir Shureih, MD

Baltimore Plastic Surgeon
+1

Textured surface ("fuzzy") breast implants for augmentation or enlargement

Your best solution is to have an open and non-confrontational discussion with your surgeon to discuss the choice of these implants and the options for changing them if you remain dissatisfied with the choice. Textured implants definitely offer an advantage with preventing undesireable rotation of the anatomic (tear drop shaped) implants. see video
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Smooth vs Textured Breast Implants

Textured implants are a form of implant that has a surface that was created to decrease the risk of capsular contractures. Unfortunately the literature is equivocal.Smooth implants may be jsut as good. Some surgeons like to use these for the above rational and also for the reason that the implant does not move around alot
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Smooth VS Textured Saline Breast Implants

Textured saline implants - Ripple more than smooth saline implants - leak / deflate earlier and more frequently than smooth - offer NO advantage in primary breast Augmentation over smooth, AND - cost more than smooth saline implants. I cannot understand much less explain why would a Plastic surgeon use textured saline implants instead of smooth ones. Dr. P. Aldea
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Textured breast implants are safe.

Hi. I cannot imagine why your surgeon put in different breast implants.  In my opinion, textured implants have more problems. But if you like the way your breasts look and feel, then you are fine.
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Textured implants are good implants for the right patient

I understand you are upset by this. The first thing you should do is ask your surgeon why he/she decided to use a textured implant. I am guessing your surgeon had a valid reason to use them. The benefit of a textured implant is that some studies show that it reduces the risk of capsular contracture. This is when the scar around the implant becomes hard and tight. It is one of the complications that can happen after breast augmentation. Your surgeon may have used it because he/she wanted to... more
John Diaz, MD

Beverly Hills Plastic Surgeon

Ask a question