Are textured implants less likely to drop?

Thanks for your question. There will be multiple factors impacting how likely your implants are to drop in the future - tissue quality, implant size, implant position, and texturing. Texturing may reduce the risk of recurrence of your bottoming out, but if you wish to stick with smooth or nanotextured implants then there are a number of surgical manoeuvres that can be performed to make them as long-lasting as possible, for example by using an absorbable mesh or by using your lower pole tissue that would normally discarded as part of an uplift procedure to support your implant (a technique that I use frequently). Consult a surgeon who can make tailored recommendations based on your preferences.

Dear keturah17,
breast revision surgery is the most difficult plastic surgery procedure performed. Botched breast surgery alters normal tissue planes and laxity, the ability of breasts to heal properly, and leaves scar tissue that dramatically affects the level of difficulty of the corrective surgery.Many patients come in to correct poor outcomes from their initial surgeries. The most common problems are due to implant malposition, bottoming out of the implant, poor scarring, and incorrect implant size.While the type of revision required will depend on the result of the previous surgery and the desired result of the patient, some revisions involve extensive pocket repair that may or may not need specialized external bras.If you are considering breast surgery revision, you should speak with a board certified plastic surgeon and have yourself properly assessed. Only after a thorough examination you will get more information and recommendations. Also, you have to make sure that your surgeon understands your breast augmentation goals.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Textured tend to move less, but do have some additional risks. Stay with smooth if you want. I do agree going down in size since your tissue did not support the heavy implant. You might need mesh.

Some plastic surgeons like working with textured implants.
I am not one of them.
I don’t think switching to a textured implant is going Control an ongoing problem if the primary underlying ideology is not addressed.
It sounds like your implant has bottomed out. Without seeing pictures, we can’t begin to make an assessment.
Revision on bottomed out implants, technically, challenging, and is best done by surgeons who have proven track record doing the procedure.
Based on your post, we don’t know if the implant has bottomed out or if it’s your breast tissues that are sagging.
If the issue is related to how the primary procedure was performed, then it may be a good idea to get a couple of second opinions.
For second opinion consultations Come prepared to bring with you a complete set of before and after pictures and a copy of your initial operative report.
These should be available from your previous providers office if you request them.
It’s important to have a clear understanding what the primary underlying ideology is of why your breast or implant is dropping.
The first part of a successful operation is to understand the problem.
To me, switching it to a textured implant is more of a Band-Aid solution, but perhaps it will be successful.
I wish I could get you better recommendations, but considering The correlation Between textured implants and lymphoma, I would only use textured implants reluctantly.
The chance of developing lymphoma from having textured implants is still relatively low, but the correlation appears to be real.
Best,
Mats Hagstrom MD