Textured VS Non-Textured: which will feel more comfortable and more natural?

I am 19 days away from my BA and I am still undecided about textured vs. smooth. I'm 35, 5'4", 115, going with 350-375 HP. I am letting my Dr. decide which size ultimately looks best on my small frame. My only concern with textured is that they do not have as much give as the smooth do. Will the smooth be more comfortable for me and feel more like my real breasts (thinking of husband too)? I'm mostly concerned with my personal comfort and desire a more natural feel for my husband. Thank you!

Doctor Answers 6

Textured vs Smooth Breast Implantsxturing of the implant.

There are a number of things that have been proven to reduce capsular contracture (hardening around the implant). One of those things is texturing of the implant. I, therefore, use them almost exclusively. That, with the other things that have been proven to improve the results, I have helped achieve a <2% redo and contracture rate. My patients and their doctors all comment on the natural feel of their breasts. Textured implants do, however, have to be placed properly. Discuss this with your doctor.


Highlands Plastic Surgeon
5.0 out of 5 stars 5 reviews

Textured VS Non-Textured: which will feel more comfortable and more natural?

With saline implants, smooth surface implants are much softer and more natural feeling than textured and have a lower leak rate. With silicone implants, I still favor smooth implants for their more natural feel, but there is less of a difference between the two with silicone than with saline. Textured surface implants can also have a more wavy appearance if your tissue is thin because your tissue adheres to the surface of the implant. Capsular contracture rates for the two are similar if the implants are subpectoral.
In addition to the implant, the quality and amount of your own breast tissue will dictate how natural your breast feel after augmentation.

Textured VS Non-Textured Implants

The surface of the outer shell of breast implants can be either smooth or textured. There are pros and cons of each and the best implant for any particular patient depends on many factors including individual anatomy and desired outcome. Smooth implants usually have thinner shells and move more freely in their pocket than their textured counterparts. Many plastic surgeons believe that the thinner shell allows smooth implants to feel more natural. Implants with smooth surfaces are less likely to ripple. Textured implants were designed to lower the risk of capsular contracture, but whether it achieves that is open to debate. The textured implants may have a greater chance of leakage or deflation. One type of implant, known as the anatomical or teardrop-shaped implant ("gummy-bear" or form-stable), is only available with a textured surface, because this surface helps keep these contour shaped implants in position and diminishes the risk of rotation and distortion. Some of the differences of the implant surface characteristics depend on whether the fill material is saline or silicone gel.

Currently, most plastic surgeons in the U.S. prefer smooth implants. You should discuss your concerns with your plastic surgeon, who should be certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAP).

Robert Singer, MD FACS

La Jolla, California

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 19 reviews

Difference between textured and smooth implants

In general there is not a significant difference going from textured to smooth within the same manufacturer.  More important is the cohesiveness of the silicone, not the outer surface.  Anatomic implants tend to be firmer than round devices as this is necessary to help maintain their shape.  Having said that smooth implants will move more and probably feel and behave a bit more naturally. Best of luck

Ronald A. Lohner, MD
Philadelphia Plastic Surgeon
4.7 out of 5 stars 20 reviews

Breast Implants | Textured versus Smooth

Thank you for your question about breast implants. Pictures would be helpful.

This is a tough question to answer online.  I can say that in the long run, textured breast implants have a lower chance of inferior and lateral migration....aka...falling to the side when you lay down.

To be sure, see two or more experienced, board-certified Plastic Surgeons in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 151 reviews

Implant Choice-Textured versus Smooth

Having used smooth silicone gel or saline breast implants over textured surface breast implants throughout the majority of my plastic surgery career, I had been quite the advocate of smooth over textured.  There are definite reasons for this, the explanation of which is too detailed to chronicle here and is not helpful to you in making your decision.  

I have personally performed over 5,000 breast implant procedures during the past 20 years. The patients on whom I operate are followed closely postoperatively.   Over the past 2 1/2 years I have recommended and used almost exclusively the textured surface silicone gel breast implant, whether round or shaped.  I am convinced that it is the optimum breast implant for all breast enhancement procedures, with but very few unique individual exceptions. It minimizes the risk of capsular contracture as well as malposition, which includes bottoming-out, lateral displacement or symmastia ("uniboob").  There is no doubt silicone gel breast implants feel far more natural in the breast than saline, consistently.  

A plastic surgeon experienced in these procedures who is board certified by the American Board of Plastic Surgery, a member of the American Society of Plastic Surgeons, and preferably also a member of the American Society for Aesthetic Plastic Surgery is highly recommended.  Best of luck to you. 
 

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.