Both textured and smooth breast implants have been used in breast augmentation surgeries, and both types have been considered safe for use. However, it's important to note that safety considerations, including the potential risk of complications, can vary based on individual factors, surgical techniques, and implant characteristics. Here are some key points regarding textured and smooth breast implants: Textured Implants: Textured implants were designed to reduce the risk of capsular contracture, a condition where scar tissue forms around the implant, potentially causing firmness or distortion. The texturing is thought to help prevent the implant from moving within the breast pocket. Some studies have suggested an association between textured implants and a rare form of cancer called breast implant-associated anaplastic large cell lymphoma (BIA-ALCL). However, this risk is considered to be extremely low, and textured implants remain in use. Smooth Implants: Smooth implants have a smooth outer surface. They are generally associated with a lower risk of certain complications, such as rippling or palpability of the implant. Some surgeons prefer smooth implants for their ease of insertion and mobility within the breast pocket. Considerations: The choice between textured and smooth implants often depends on factors such as the patient's anatomy, surgeon preference, and the specific goals of the surgery. Patient preferences, the desired outcome, and potential risks should be discussed thoroughly during the consultation with a qualified plastic surgeon. FDA Recommendations: The U.S. Food and Drug Administration (FDA) monitors the safety of breast implants and provides updates based on ongoing research. As of my last knowledge update in January 2022, the FDA has made recommendations regarding breast implant safety, including discussions of the risks associated with both textured and smooth implants. It's crucial for individuals considering breast augmentation or reconstruction to consult with a board-certified plastic surgeon. A surgeon can provide detailed information about the benefits and potential risks associated with both textured and smooth implants, taking into account the patient's unique circumstances and preferences. Regular follow-up appointments and ongoing communication with healthcare providers are important for monitoring long-term breast implant safety.