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Textured Silicone Implant Vs. Smooth Silicone Implant?

What is the difference between the two? I read the smooth is a bit stronger than textured but can ripple? Also textured has less chance for capsular contracture, is this true? And the textured silicone implant is much firmer than the smooth. I am strongly considering smooth would it really make a difference if its sub-muscular? Thank you.

Doctor Answers 10

Textured v smooth breast implants

Textured implants went through a phase of popularity in the late 80's and early 90's.  it was theorized that the rough surface would help prevent the capsule from shrinking (contracting), hence give a softer result.  Statistically this did not hold up.  Textured implants become fixed to the tissues like a velcro seal.  This causes three issues (in my opinion).  The first is that the edges of the implant are more visible so an unnatural ring can be seen surrounding the implant..  The second is that tissue attachment reveals all of the implant wall characteristics, and thus shows more wrinkling.  The third is that textured implants do not have a natural motion.  They stay fixed like you are still wearing a bra.  A normal breast will move as you change body positions, say from your back to your side.   

Seattle Plastic Surgeon
5.0 out of 5 stars 101 reviews

Textured vs smooth implants

Textured were creating with the thought that they may decrease the risk of capsular formation. The literature is equivocal.  I personally do not like textured implants because I do not think they move as naturally as smooth ones.

Steven Wallach, MD
New York Plastic Surgeon
4.5 out of 5 stars 20 reviews

Smooth Vs. Textured

There will probably be some different opinions here, but this is my feeling based on 28 years of experience. Smooth implants are LESS likely to ripple and break. Textured implants are slightly less likely to become firm (capsular contraction), but the difference is small and disappears if they are placed under the muscle. Tear Drop shaped implants are mostly textured so that they are less likely to rotate. So, I prefer smooth silicone implants.

I hope this helps!


William H. Gorman, MD
Austin Plastic Surgeon
4.0 out of 5 stars 16 reviews

Smooth vs. Textured Implants

The main advantages of textured implants over smooth implants is that they help to stabilize the position of the implants, as they are less likely to migrate out of position over time.  Secondly, recent data has reinforced the concept that textured surface silicone implants lowers the risk of capsular contracture. Finally, by having textured implants, it limits the need to do breast massage after surgery for capsular contracture prevention and is therefore more convenient for patients.
Generally, the implants will not feel much different through the skin or look that much different if the implant shape and size are similar. I use these implants to maintain control of my results and make sure that they last as long as possible. In very thin tissue patients, the shallow of a textured implant sometimes can be more palpable than a smooth implant because it is slightly thicker. However, with the more cohesive gel associated with these implants and the advantages I mentioned earlier, I feel that the pros for most patients outweigh the cons. I tend to use smooth implants for revision surgery where I am reusing an old smooth implant pocket because textured implants need a unique contact with fresh tissue to provide the advantages that I discussed earlier.

Robert Cohen, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 30 reviews

Textured vs Smooth Implants

Smooth is generally preferred however textured has been associated with a lower rate of capsular contracture (although new research has found that this may not be the case anymore).

Textured vs. Smooth Breast Implants

Thank you for your question.
You will receive different recommendations from different surgeons depending on their preferences.  I prefer to use smooth, round breast implants for my patients and have found them to be the least complication prone implants available.
Visit with well experienced plastic surgeons to get good advice.  Also, ask to see examples of their work.
Best wishes.

Purpose of textured implants

If you are going sub-musclar, there is no difference between the two implants.  Textured implants are designed for pre-pectoral position to decrease capsular contracture.  Sub-musclar implant placement is more effective then textured implants in preventing contracture.

Best of Luck,

Gary Horndeski, M.D.

Gary M. Horndeski, MD
Texas Plastic Surgeon
5.0 out of 5 stars 177 reviews

Textured vs smoothI will

Textured breast implants were developed with the idea that she were capsular contractures would occur. While some surgeons felt this was corrected later studies failed to improve any difference in contracture right when compared with smooth implants.

Ripples, both palpable and visible, or clearly more common with textured implants and because of that most surgeons have abandoned them except in unusual in the specialized circumstances.

I would choose smooth implants to her surgery. Good luck.

Textured vs. Smooth Implants

I only use smooth implants in my practice. Textured implants tend to feel firmer and are less mobile as the shell is thicker. At one time it was thought to help reduce capsular contracture but with time findings showed no reduction in contracture.

Jeffrey Hartog, MD
Orlando Plastic Surgeon
4.5 out of 5 stars 50 reviews

Smooth or Textured Implant

In the late 70's and into the early 90's the textured implants were favored because they reduced capsular contracture. They do have a less natural feel and movement. They also have a slightly higher leak rate. With the new generation of implants, the texture seems not to be important in maintaining softness. Few surgeons favor the texture any more, most of us like the results better witht the smooth shells.

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 17 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.