What Are the Pros and Cons to Textured Vs. Smooth Implants?

You have already received many accurate answers about smooth v. textured.

But at 5'2" and 100lbs, those sizes are far in excess of what will fit within your tissue. Of course, I haven't measured you, but I've never examined a patient yet with your height and weight whose breast tissues are wide and lax enough to fit implants that large.

That is said, of course, presuming that you don't want to look overly fake and cause some permanent damage to your tissues. When implants are large, they create an unnatural look. Worse is that over time such implants compress and thin breast tissue, stretch out skin, and even create a crater in the rib cage.

I see a lot of patients who need correction following earlier breast augmentation, and these problems are real, embarrassing, and often are not totally fixable.

Don't sweat the smooth v. textured thing --the bottom line is that each has subtle trade-offs and neither is absolutely better than the other. You can research it all you want, but the fact is that no surgeon on the planet knows for sure which would be better for you.

But the analysis of breast dimensions and implant dimensions has been studied, published, and is logical. How can you fit a size 8 foot into a size 7 shoe? It's the same thing with implants. I suggest you not fret over the textured/smooth thing and revisit the issue of size.

Breastaugmentation procedures have continued to improve and techniques have evolvedand implants have advanced. At this timethere is a wide range of implants from which patients have to choose from fortheir breast implant. One of the choicesis whether the implant is textured or smooth. The answer depends on several factors and cannot be made alone withoutconsidering the entire procedure.

One, shapedimplants should always be textured. Thetexturing is used to keep the implant in the exact position and orientation inwhich your plastic surgeon placed the implant. The shaped implants a designed to give patients a very natural shape andslope, but to accomplish this they have to keep their orientation. Thetexturing helps accomplish this task.

Second, if theimplant is placed above the muscle texturing is beneficial in decreasing thechance that a significant amount of scar tissue will form around theimplant. The benefit of texturing whenthe implant is placed below the muscle is has not been proven and this tends tobe up to plastic surgeon preference.

The benefit ofsmooth implants is that they can typically be placed through a smaller incisionthan textured implants. They also tendto have a little softer feel after the augmentation as the implant will have alittle movement in the pocket giving it a natural appearance and feel.

In the end theyare both great implants depending on your particular situation both implantshave their place in breast implants surgery.

Please discussyour breast implant surgery with your board certified plastic surgeon who canhelp guide you and help you achieve your aesthetic goals.

We are fortunate to have variety of options for aesthetic breast augmentation because everyone is different and has different needs.  In general the pros of the textured is as follows:
1.  It may decrease the risk of capsular contracture.
2.  Because it integrates with the tissues around it, will migrate less with time and reduce the risk of implant “bottoming out”.
3.  The anatomical textured has the shape that most patients want, which is tear drop shaped.  In patients who rely on implant to shape the breast, it may be of advantage.  
For the smooth implants, the pros are as follows:
1.  It decreases the risk of rippling especially in patients with very little soft tissue coverage.  
2.  For patients with very short lower pole, the “settling “will stretch the lower pole with time.
3.  The occurrence of the Breast implant-Anaplastic Large Cell Lymphoma seems to be significantly less than textured.  
Because there are so many choices and factors to consider, not just the type and size of the implant, it is very important to seek an experienced Board Certified plastic surgeon.

Thank you for your question
Generally speaking texturisation should reduce the risk of capsular contracture. Now exist many different type of texturisation and this would be their main advantage.
Texturised implants tend to be slightly firmer as well but again there is a wide range of possibility 
Speak with your plastic surgeon about his/her choice if not sure.

Kind Regards

Mr Giorgio Netri

Shaped implants are Silicone. In my practice, about 15-20% of the patients are good candidates for silicone #shapedimplants.

Every implant has its own set of pros and cons and there is
no perfect implant. However, generally I tend to use mostly textured anatomical
implants because I feel these have the most advantages and the least
disadvantages. Advantages are texturing over smooth implants including more
stable position to the implant, which is less likely to shift over time, lower
risk of capsular contracture and the elimination of the need to do breast
massage every day after surgery. The shell of textured implants can be slightly
thicker and are slightly more palpable through the skin in thinner patients.
However, when using a formed stable anatomical implant such as Sientra’s
classic anatomical implant, the implant still has a very soft and natural feel
and can create an excellent shape in thinner patients. Smooth round implants
will feel slightly softer and have a thinner shell, however they are more
likely to shift out of position over time because they are not adherent to the
tissues and do not have a coefficient of friction that prevents them from
sliding around in the pocket. With regards to size options, the range of sizes
depends on the implant brand, but in general there would be size options with
almost any implant between 322 and 440 cc. Some implants jump by increments of
20-25 cc while other styles and brands jump by 50 cc at a time. I am not aware
of any implants that increases in the 300-400 cc range by that amount, so I do
believe you would have other options in between. Best of luck with this
surgery!