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Textured Vs Smooth Under Muscle - Does It Help with Gravity?

asked 1 year ago by booboost1 in Australia
Latest answer by Mark Preston, MD
Question viewed 479 times
Tags: droopy, under muscle, comparison, smooth, textured

Read that textured may help with gravity, that is that the textured vs smooth may help the implant stay in place hence less need for a lift in the long run vs smooth. Is this correct. Recently changed my mind from textured to smooth based on that they feel more natural even when under and that they move more like a natural breast vs textured.This is from girls who have had both or have felt both on others. I read not much difference in CC when both undergoing hence opted for smooth but now ?

16 answers to Textured Vs Smooth Under Muscle - Does It Help with Gravity?

Textured versus smooth breast implants

The likelihood of implant and breast sagging over time is far more dependent upon the size/weight of the implant and the elasticity/tone of your skin. Although texturing can create a minor amount of "stickiness" with respect to the capsule, it will not prevent bottoming out or implant ptosis over an extended period of time. Advantages of implant texturing focus on capsular contracture rates. However, many surgeons and patients prefer smooth implants as they "move" with... more

David Bogue, MD
Boca Raton Plastic Surgeon

Breast implants and gravity

It is difficult to prove such things but in my opinion and experience, the surface of the implant and even its volume has little or nothing to do with actual sagging of the breast in the future. I also think it's a myth that wearing a bra or not wearing one has anything to do with it. Breast implants are like pillows behind the breast and really don't influence what the breast above it does. There are situations where the capsule around the implant stretches and the implant sags... more

Scott L. Replogle, MD
Denver Plastic Surgeon

Textured versus smooth breast implants

It sounds as if you have a good appreciation of the issues involved. A textured implant may resist gravitational changes with time but this may present with beneficial as well as detrimental effects. Occasionally, the implants remain relatively fixed in place whereas the breast tissue may sag over the implant producing a double bubble appearance. When placed under the muscle the risks for CC are difficult to measure when discussing smooth versus textured and generally... more

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Textured vs. smooth

THere are subtle differences between the implants in terms of capsular contracture and rippling. BUT neither would obviate the need for a lift in the future. This truly is where art meets science. Surgeons will generally use whichever they are more comfortable with. Pocket placement must be precise with textured implants because they tend to adhere to their location and not "drop" into place like a smooth implant.

David A. Lickstein, MD
Miami Plastic Surgeon

The purpose of breast implant texture in augmentation

The answer concerning breast implant texture, vs. a smooth implant is simply capsule contracture. Smooth silicone implants were prone to capsule contracture and texture was added in an attempt to reduce the contracture rate. There were many types and patterns developed to 'confuse' the scar and reduce the tightness. The trade-off is more surface 'grab' which causes ripples or folding for some, and a reduction of the implant lifespan. Today most surgeons prefer a... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

www.peterejohnsonmd.com

Smooth over Textured

Textured implants came out in the late 1980's and early 90's to replace what were known as the Meme implants. These implants had a polyurethane layer over the implant. Although there were some problems with this implant they did have an extremely low capsular contracrture rate. This is what texturing attempts to simulate. I use only smooth implants when I use round implants. I reserve using texture when I am using a shaped implant such as the new Gummy... more

Steven Schuster, MD
Boca Raton Plastic Surgeon

Textured Implants Do Not Slow Drooping

Textured implants do not prevent or slow drooping of the breast, which occurs in front of the implant, with the laxity of the breast tissues and skin over time. Smooth implants do feel more natural.

Paul C. Zwiebel, MD
Denver Plastic Surgeon

Smooth implants- simple is better

I was trained to use smooth implants in primary augmentation cases. I think they wrinkle less than smooth implants. We place all implants in the sub-muscular position, so any small reduction in capsular contracture observed with the use of textured implants is really negligible in this position. The new form stable implants that will come out someday are all textured. This will help prevent implant rotation, which can be a major issue when a form stable implant is used, because of their... more

Scott Sattler, MD
Bellevue Plastic Surgeon

Smooth vs. textured breast implants

Theoretically what you are saying makes sense, that the textured are less prone to shift in position from gravity than the smooth. However, that has not been proven. There are other factors such as placement over vs. under the muscle, the actual implant weight etc. that also come into play. I would guess that if you put a very large implant in the breast it will shift downward over time regardless of the texturing. What's very large for a 5' tall individual is not so large for a... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Smooth breast implants have been our choice for ten years

We prefer smooth, round breast implants. A natural look and feel can be achieved with these implants. Recenly, we replaced textured implants with smooth ones in 2 patients and they were amazed at how much better the smooth ones felt.

Francisco Canales, MD
Santa Rosa Plastic Surgeon

Textured Vs Smooth Under Muscle

As this on going discussion continues as the which is better, I usually use the smooth. I find textured implant ripple much more than smooths. Best of luck.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Smooth versus Textured breast Implants

I do not believe there will be any significant difference between the two implant styles with regard to sagging over time. The volume of the implant and the overall quality of your own tissue will be the two factors that will have the greatest impact over time. In my own experience (20 years) I have seen the most consistent results with the smooth implants with regard to the overall result.

Mark Preston, MD
Columbus Plastic Surgeon

Textured vs Smooth

In reality there is very little difference regarding dropping from textured to saline.The real determinant is what shape is the skin in.If it is stretched out with a lot of stretch marks it will tend to bottom out more readily.

Robert Brueck, MD
Fort Myers Plastic Surgeon

Textured vs smooth implants

I agree that smooth implants tend to move around more like natural breasts. The textured do usually stay where you place them, however, over time the breasts may sag.

Steven Wallach, MD
Manhattan Plastic Surgeon

Textured Breast Implants do NOT prevent Breast Sagging

Regarding: "Textured Vs Smooth Under Muscle - Does It Help with Gravity? Read that textured may help with gravity, that is that the textured vs smooth may help the implant stay in place hence less need for a lift in the long run vs smooth. Is this correct. Recently changed my mind from textured to smooth based on that they feel more natural even when under and that they move more like a natural breast vs textured.This is from girls who have had both or have felt both on others.... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Textured Breast Implants

Booboost1- Great question...I recently toured the factory here in the United States where breast implants are manufactured. It was a great trip as I was able to see from start to finish, how breast implants are made, both silicone and saline as well as smooth and textured. Fascinating process....in any event, I have not seen any scientific papers that have studied longevity of textured vs smooth with respect to ptosis (breast sagging) as a consequence of implant surface characteristics.... more