Can textured round implants drop just as beautifully as smooth implants?

Question

I've gotten conflicting advice about textured va smooth round implants. I've heard smooth drops more beautifully and naturally. But I know that textured will move less over time in terms of implant migration. Can textured implants drop just as beautifully?

Gregory A. Wiener, MD, FACS · Answer

Hello, and thanks for the question. Textured implants are designed to promote some degree of adhesion between the implant and the tissues. Although they do drop and "settle" into the pocket after placement, they may not move as much as a smooth implant. This doesn't mean that they won't end up looking as good as a smooth implant, it just means that the pocket and implant placement need to be a little more precise for a textured implant. Indeed, some textured implants, such as the teardrop shaped, highly cohesive gel implants ("gummy bears") don't settle or drop much at all. My primary reason for using textured implants include the use of the "gummy bears" in patients with really thin tissues, as this implant is less likely to cause "rippling" (seeing folds on the implant through the skin), and capsular contracture (hardening of the scar tissue around the implant). Another reason to use textured implants would be in placement above the muscle (submammary placement), as it has been shown that textured implants reduce capsular contracture in the submammary position. If the implant is being placed in a submuscular position (beneath the muscle) I typically use a smooth implant, as the capsular contracture rates are similar to textured when beneath the muscle. Smooth implants are also a little softer, and are a little more reliable as far as settling nicely into the pocket and filling out the lower aspect of the breast.Hope this helps!

Michael F. Bohley, MD · Answer

The short answer is that you can achieve a nice result with either as long as the size/profile are correct.Textured implants do tend to stay in position more than smooth devices due to their surface texturing. There are a variety of reasons to choose one over another.  The best bet is always to work closely with your plasticsurgeon, and make certain that you know the pros/cons of any operative approach.

Gerard Lambe, MBChB · Answer

Yes textured will drop and they have lower risk of capsular contracture than smooth implants. the only implant that do not drop are polyurethane. Gravity will always get hold of the implant.Best wishes for a smooth recovery and great result.

Brian Windle, MD (retired) · Answer

Textured implants usually look even better than smooth implants
and they have less problems like capsule contracture, rippling, sliding to the
side or migrating down (stretching out the lower pole of the breast).  This is because they “Velcro” in place or
adhere to the tissue of the pocket are made of much more cohesive silicone,
their name, the natural feeling gummy bear breast implant.  Sientra has the best safety profile and feels
the best of all the implants.  At 6
months it is hard to tell that you have breast implants in most cases and they
look amazing.  They can also be placed
above the muscle to avoid animation and thus are perfect for the 24-hour rapid
recovery protocol.

I have added a web reference and a video for you for more information.

I hope that helps.

Best regards.

Ronald V. DeMars, MD (Retired) · Answer

There are various reasons your surgeon will choose one implant over another to meet your specific goals and taking into account your anatomy. The choices are textured or smooth, round or shaped and various profile choices. Listen to your surgeon's recommendations to get the best result. All implants can look great but they don't all look great in a specific individual.

Richard P. Rand, MD, FACS (retired) · Answer

If the texturing works, the body literally heals stuck to the implant like velcro. If that happens too high the implants can't drop. I personally prefer smooths for all patients as a result.

Can textured round implants drop just as beautifully as smooth implants?

Answers (6)

More Breast Augmentation Questions

WE SEND PRETTY
EMAILS

Answers (6)

More Breast Augmentation Questions

I'm having pain in my breast 7 years after my saline implants. Why might this be happening?

Can injectable cortisone help with capsule contracture?

How long would I need to take off work after breast implants?

Do I have webbed breasts?

Post op stitches crease incision. What can I use? (Photo)

Do I have mild tubular breast deformity, constricted breast, or am I just small? (Photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS