Do textured implants settle the same way as smooth ones?

Part of what we call settling is just swelling going down, but smooth implants may settle a bit as the scar capsule forms and matures. Textured implants should not settle very much. Although the original purpose for texturing was to reduce capsular contracture, this is no longer considered the most important factor. Sientra's textured silicone gel implants have a higher percentage fill, which may mean slightly less tendency for rippling. This can be especially important for high profile implants in a thin patient.

Textured implants are made to adhere to the surrounding tissues and therefore no settling would be expected. The appearance may change as the surrounding tissues change and the swelling subsides. With smooth implants, there may be some movement as tissues stretch, but this should only be minimal. Basically, even smooth implants are meant to stay where the surgeon places them.

Textured implants do not settle the same way that smooth implants settle.  You need to define your goals and communicate them to the plastic surgeon.