Should I get textured or smooth implants?
I am seeking a FULL C cup coming from a 32A. I have visited several surgeons offices. they are all seem to be on the same plan of care: High profile, saline (preffered by me) round implants, submuscular. My question is, should i get textured or smooth as my fear of rippling over time. i do a have some breast tissue at the base and good upper polar, will either smooth or texture really be an issue.
Doctor Answers 11
Textured have less complications
Gary Horndeski, M.D.
Textured or not?
Supposedly, the purpose of the texturing is to reduce the incidence of capsular contracture. However, smooth saline implants under the muscle have such a low incidence on encapsulation anyway. I like the feel of the smooth implants much better. Textured implants have a much higher tendency to ripple in my opinion. Smooth saline high profile implants are what I recommend.
Textured vs Smooth Implants
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Saline breast implant rippling is less with smooth implants than textured
Thank you for your question. Generally speaking rippling occurs with all types of saline implants. Textured implants protect from capsular contraction by forming a specific capsule around the implant which is less likely to tighten. However because of the structure and function textured implants tend to be a little more firm, and rippling can be more obvious than with saline implants.
Textured or smooth implants?
There are a variety of types, sizes, and shapes of implants that can produce a good aesthetic (cosmetic) result in a patient with your particular anatomy. Most plastic surgeons would suggest a submuscular position in a slender patient to diminish the appearance of rippling. Rippling may occur with either smooth or textured saline implants, but is often more obvious with textured implants. High profile implants and especially those that are overfilled often look fake and feel firmer than most patients would like.
Following advice from a surgeon on this or any other website who proposes to tell you what type and size of implants to use based on two dimensional photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure and each type of implant would not be in your best interest. I would suggest that you find a surgeon certified by the American Board of American Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.
Robert Singer, M.D., FACS
La Jolla, California
Rippling with saline implants
Since you are small framed and small breasted and adamant about saline implants, the best way to minimize (not eliminate) the likelihood of rippling would be smooth implants. These should be overfilled within the manufacturer's guidelines, but no more (this can give a different kind of edge rippling, and a hard fake look).
Should I get smooth or textured implants?
Textured vs. Smooth Breast Implants
Rippling after your breast augmentation can occur with either a textured or smooth breast implant. Placement of the breast implant under the muscle will help in reducing the the chance of seeing ripples due to the implants. "Overfilling" the saline breast implants to the manufacturers recommended maximum volume will help with ripple reduction as well. The idea of using textured vs. smooth implants is mainly in the reduction of capsular contracture. Thank you for sharing your question. Best of luck with your upcoming breast augmentation!
For additional information about breast augmentation and implants:
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.