What Are the Pros and Cons to Textured Vs. Smooth Implants?

You have already received many accurate answers about smooth v. textured.

But at 5'2" and 100lbs, those sizes are far in excess of what will fit within your tissue. Of course, I haven't measured you, but I've never examined a patient yet with your height and weight whose breast tissues are wide and lax enough to fit implants that large.

That is said, of course, presuming that you don't want to look overly fake and cause some permanent damage to your tissues. When implants are large, they create an unnatural look. Worse is that over time such implants compress and thin breast tissue, stretch out skin, and even create a crater in the rib cage.

I see a lot of patients who need correction following earlier breast augmentation, and these problems are real, embarrassing, and often are not totally fixable.

Don't sweat the smooth v. textured thing --the bottom line is that each has subtle trade-offs and neither is absolutely better than the other. You can research it all you want, but the fact is that no surgeon on the planet knows for sure which would be better for you.

But the analysis of breast dimensions and implant dimensions has been studied, published, and is logical. How can you fit a size 8 foot into a size 7 shoe? It's the same thing with implants. I suggest you not fret over the textured/smooth thing and revisit the issue of size.

Breastaugmentation procedures have continued to improve and techniques have evolvedand implants have advanced. At this timethere is a wide range of implants from which patients have to choose from fortheir breast implant. One of the choicesis whether the implant is textured or smooth. The answer depends on several factors and cannot be made alone withoutconsidering the entire procedure.

One, shapedimplants should always be textured. Thetexturing is used to keep the implant in the exact position and orientation inwhich your plastic surgeon placed the implant. The shaped implants a designed to give patients a very natural shape andslope, but to accomplish this they have to keep their orientation. Thetexturing helps accomplish this task.

Second, if theimplant is placed above the muscle texturing is beneficial in decreasing thechance that a significant amount of scar tissue will form around theimplant. The benefit of texturing whenthe implant is placed below the muscle is has not been proven and this tends tobe up to plastic surgeon preference.

The benefit ofsmooth implants is that they can typically be placed through a smaller incisionthan textured implants. They also tendto have a little softer feel after the augmentation as the implant will have alittle movement in the pocket giving it a natural appearance and feel.

In the end theyare both great implants depending on your particular situation both implantshave their place in breast implants surgery.

Please discussyour breast implant surgery with your board certified plastic surgeon who canhelp guide you and help you achieve your aesthetic goals.

We are fortunate to have variety of options for aesthetic breast augmentation because everyone is different and has different needs.  In general the pros of the textured is as follows:
1.  It may decrease the risk of capsular contracture.
2.  Because it integrates with the tissues around it, will migrate less with time and reduce the risk of implant “bottoming out”.
3.  The anatomical textured has the shape that most patients want, which is tear drop shaped.  In patients who rely on implant to shape the breast, it may be of advantage.  
For the smooth implants, the pros are as follows:
1.  It decreases the risk of rippling especially in patients with very little soft tissue coverage.  
2.  For patients with very short lower pole, the “settling “will stretch the lower pole with time.
3.  The occurrence of the Breast implant-Anaplastic Large Cell Lymphoma seems to be significantly less than textured.  
Because there are so many choices and factors to consider, not just the type and size of the implant, it is very important to seek an experienced Board Certified plastic surgeon.

Thank you for your question
Generally speaking texturisation should reduce the risk of capsular contracture. Now exist many different type of texturisation and this would be their main advantage.
Texturised implants tend to be slightly firmer as well but again there is a wide range of possibility 
Speak with your plastic surgeon about his/her choice if not sure.

Kind Regards

Mr Giorgio Netri

Shaped implants are Silicone. In my practice, about 15-20% of the patients are good candidates for silicone #shapedimplants.

Every implant has its own set of pros and cons and there is
no perfect implant. However, generally I tend to use mostly textured anatomical
implants because I feel these have the most advantages and the least
disadvantages. Advantages are texturing over smooth implants including more
stable position to the implant, which is less likely to shift over time, lower
risk of capsular contracture and the elimination of the need to do breast
massage every day after surgery. The shell of textured implants can be slightly
thicker and are slightly more palpable through the skin in thinner patients.
However, when using a formed stable anatomical implant such as Sientra’s
classic anatomical implant, the implant still has a very soft and natural feel
and can create an excellent shape in thinner patients. Smooth round implants
will feel slightly softer and have a thinner shell, however they are more
likely to shift out of position over time because they are not adherent to the
tissues and do not have a coefficient of friction that prevents them from
sliding around in the pocket. With regards to size options, the range of sizes
depends on the implant brand, but in general there would be size options with
almost any implant between 322 and 440 cc. Some implants jump by increments of
20-25 cc while other styles and brands jump by 50 cc at a time. I am not aware
of any implants that increases in the 300-400 cc range by that amount, so I do
believe you would have other options in between. Best of luck with this
surgery!

Textured
implants were developed in an effort to decrease the incidence of capsular
contracture.Unfortunately, their use
has proved controversial and most studies don’t demonstrate significant
differences between smooth and textured implants.This is especially true when these implants
are placed beneath the muscle.In addition, textured implants have
several disadvantages when compared to smooth implants.These include increased firmness, more
rippling, lack of mobility, and higher deflation rates.For this reason, texturized implants are used
mainly to prevent the rotation of contoured implants.In your case, there’s really no reason to use
this type of implant.One of the most important decisions
facing breast augmentation patients is implant size.For this reason, it’s important to thoroughly
discuss this issue preoperatively with your surgeon.We frequently use external implant sizers and
the 3D Vectra computer imaging system to make this determination.It’s important that you discuss
these issues with your plastic surgeon prior to surgery, so he understands your
aesthetic goals.When these steps are
taken, results are usually excellent, and levels of patient satisfaction are
high.

Smooth is generally preferred however textured has been associated with a lower rate of capsular contracture (although new research has found that this may not be the case anymore). Please have your surgeon reassess your measurements to determine the size of your implants. 

There is actually a lot to this question. Texturing was first developed to lower the risk of capsular contracture with earlier generations of silicone implants. As techniques and implant technology improved, it became less of an issue so most surgeons shifted to smooth implants because they are softer. However, the newer "gummy bear" implants, bacause theya re shaped rather than round, are textured so the scar capsule can stick them in place and prevent rotation. However, these implants are very firm, and not ideal for most cases. And you should definitely be very comfortable with the size you choose before surgery, the sizes you mentioned seem on the large side for your frame.

There are two shapes of implants, round and teardrop. Imagine that a round implant “rotates” within your body. Will you notice? The answer is no because no matter which way you rotate a circle, it looks the same.
Imagine holding a teardrop implant in your hand like a Hershey’s kiss. Then you rotate it 90 degrees. You can bet it looks different now! You would not want this to happen inside your body. So “textured” implants prevent rotation. It is harder for a textured object to move than it is for a smooth one. That’s why textures are used with anatomic, aka “teardrop” shaped implants.
Do not let this difference between the two confuse you in your choice of implant.
I hope that answers your question on implant texture and size. It’s great that you’re doing this research. I always say that the best patients are informed patients.
You might also want to research your options for breast implants. Choosing the right implant is the number one concern among women considering breast augmentation. Did you know, there’s actually a way to select a implant shape, size, and profile that is perfect for you?
A term that I use with my patients for the perfect implant is the “Pony Implant”.
So what do I mean by “perfect”? Well, a Pony Implant has three qualities to it. First, the implant meets your beauty goals. For example, you want to your breasts to look fuller while still appearing natural.
Second, when you chose your Pony Implant, you walk out of your consultation 100% confident that you’ve chosen the right shape and size for you. In other words, you won’t be second guessing your decision, and you won’t be afraid of having gone too big or too small.
And third, after your procedure, you are thrilled with your results, and say, "I’m so happy. This is exactly what I wanted!"
That’s the Pony Implant. And the great news is that there is a simple process to go about finding yours.
This issue of selecting the right implant is so important when it comes to patient satisfaction or dissatisfaction that, again, I really encourage you to learn more about it.
Thank you for reading and best of luck on your journey!