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

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!

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.

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.