What is the Difference Between a Smooth Round & Textured Round Profile?

Doctor Answers 13

Textured silicone gel implants are the same as smooth walled implants with the exception that they have a rough textured surface

When ever I put a breast implant under the breast in front of the muscle, i routinely use a textured implant. It has several distinct advantages. It is less likely to get hard, capsular contracture, and  the breast tissue grows onto the surface of the implant. This creates a much more natural breast because the implant does not move around in the pocket and feel like normal breast tissue. It also helps prevent bottoming out of the implant which some times happens with smooth walled implants. I will almost always recommend the placement of textured gel implants through a peri areolar incision behind the breast it it is appropriate for the patient. There is a little more risk of ripples but these can be treated with fat grafting if necessary. In a patient with minimal breast tissue it would be better to put a smooth walled gel implant behind the muscle to minimize the ripples. 

Orlando Plastic Surgeon
5.0 out of 5 stars 15 reviews

Smooth- vs. Textured Breast Implants

Smooth vs Textured refers to the texture of the surface of a breast implant.

  1. Smooth-surface implants are just that: this is the implant currently used by most surgeons for subpectoral (under the chest muscle) cosmetic breast augmentation.
  2. Textured implants have a rough surface: these implants are used by some surgeons to reduce the incidence of capsule contracture, especially for revision after a contracture has occurred.  Some surgeons think textured implants may not feel or move as naturally as smooth implants, so these implants may be used more selectively.
  3. The texture of the implant is a consideration separate from most profiles (e.g., low,medium, high) in round implants. 
  4. All teardrop shaped implants must be textured to help prevent the implant from rotating out of proper orientation (imagine if the teardrop shaped implant rotated sideways!).

Paul C. Zwiebel, MD
Denver Plastic Surgeon
4.6 out of 5 stars 39 reviews

Implant Types

There are many variables in recommending implant size/type. I base my implant recommendation on patients' body (chest height, chest width, existing breast tissue) as well as their desired look. I usually do not talk about cup size. As you know, cup size varies with brand and styles of bra. I would go for the desired look. Review before and after photos and see what kind of look that you want.
Implants come in different types (silicone, saline), shape (round, anatomic), and profiles and volume. As you increase the profile of implant, you will get a larger implant.
More meaningful recommendation can be made based on direct examination and in-person consultation.
Please visit with a board-certified plastic surgeon.
Best regards.

Sugene Kim, MD, FACS
Houston Plastic Surgeon
4.7 out of 5 stars 76 reviews

Many implants to select from

It really depends upon you shape if  you were to choose a round vs. an anatomic shape implant.  If you have a well formed breast just insufficient volume then you would do well with a round implant.   From the shape of your breast you will do fine with either implant.  Vectra 3 D imaging is a great educational too which helps patients visualize the difference between all of the implant choices  > 500 types and sizes.  Your plastic surgeon will help you decide which is the best implant based on your anatomy and preferences for shape and size. Atlanta Plastic Surgeon, Dr. Z

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
4.5 out of 5 stars 19 reviews

Smooth versus Textured Breast Implants

Thank you for the question.
The difference between these types of implants is the feel and surface characteristics of the outer surface of the implants.  I do not think that there are any advantages of using textured  implants  and use the smooth round implants almost exclusively.
Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Smooth or textured implants, the difference?

Your question is about the surface of the implant, (silicone or saline).  The textured implant has a rough surface to it.  The advantage is that tissue ingrowth can occur and so the implant will not move around or flip so much.  This is an advantage for tear drop shaped implants especially.  Textured implants were also touted to have less capsular contracture rate in over the muscle placement.  Most of the literature suggests that when placed under the muscle, the advantage of a textured implant diminishes.  That is, the capsular contrature rates are decreased for both and without a significant difference between the two.  Our office usually places smooth round implants under the muscle.

Jeffrey J. Roth, MD, FACS
Las Vegas Plastic Surgeon
4.6 out of 5 stars 17 reviews

What is the Difference Between a Smooth Round & Textured Round Profile?

The expert posters have answered your question but I think best to touch these types of implants in a consult in a boarded PS office. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.6 out of 5 stars 173 reviews

What is the difference between textured and smooth implants?

Smooth implants have a thinner outer covering and tend to be softer and not as stiff.  Textured implants are covered with a second layer of textured silicone.  The local tissue adheres to the textured implants preventing its movement.  This is important with implants that are shaped.  For example, a tear drop shaped anatomic implant would need to be textured because you wouldn't want it to turn upside down.  I prefer the smooth round implant because they are soft and have a more natural movement. 

Elizabeth S. Harris, MD
San Antonio Plastic Surgeon
4.9 out of 5 stars 20 reviews

Smooth vs textured breast implants

As you can see from the other answers, smooth implants are exactly that, like a zip lock bag.  Textured ones have a sandy feel and were thought to reduce capsular contracture though I don'e personally feel that they do.  I always use smooth ones. 

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Smooth versus textured implants for breast augmentation?

The difference refers to the outside surface of the implant. The textured implants have a rough surface, and a possibly a lower risk of capsular contracture when the implants are placed over the muscle. 

Frank Agullo, MD
El Paso Plastic Surgeon
4.9 out of 5 stars 140 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.